ANDREA T DEYRUP Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041204

License Status

EXPIRED

Business

First Name

ANDREA

Middle

Last Name

DEYRUP

Business Name

ANDREA T DEYRUP

Original Issue Date

06/24/2000

Effective Date

06/24/2000

Expiration Date

06/23/2003

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006