NORBERT G DE BIASE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045324

License Status

EXPIRED

Business

First Name

NORBERT

Middle

Last Name

DE BIASE

Suffix

Business Name

NORBERT G DE BIASE MD

Original Issue Date

07/08/2002

Effective Date

07/08/2002

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006