DEANNE LOLITA DEGREAFFENREIDTE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041247

License Status

EXPIRED

Business

First Name

DEANNE

Middle

LOLITA

Last Name

DEGREAFFENREIDTE

Suffix

Business Name

DEANNE LOLITA DEGREAFFENREIDTE MD

Original Issue Date

06/24/2000

Effective Date

06/24/2000

Expiration Date

06/30/2004

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006