DUCLOS DESSALINES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050487

License Status

EXPIRED

Business

First Name

DUCLOS

Last Name

DESSALINES

Suffix

Business Name

DUCLOS DESSALINES MD

Original Issue Date

08/01/2005

Effective Date

08/01/2005

Expiration Date

07/30/2007

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

08/29/2007