DENISE M FURLONG Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040914

License Status

EXPIRED

Business

First Name

DENISE

Middle

Last Name

FURLONG

Business Name

DENISE M FURLONG

Original Issue Date

06/17/2000

Effective Date

06/17/2000

Expiration Date

06/16/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006