QUAISON TRENTUS DEY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048829

License Status

EXPIRED

Business

First Name

QUAISON

Middle

TRENTUS

Last Name

DEY

Suffix

Business Name

QUAISON TRENTUS DEY MD

Original Issue Date

10/20/2004

Effective Date

10/20/2004

Expiration Date

11/19/2005

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006