MICHELLE J DE VERA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034837

License Status

EXPIRED

Business

First Name

MICHELLE

Middle

Last Name

DE VERA

Suffix

Business Name

MICHELLE J DE VERA MD

Original Issue Date

06/04/1996

Effective Date

06/04/1996

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006