DANIEL SCOTT DEFEO DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054104

License Status

EXPIRED

Business

Title

First Name

DANIEL

Middle

SCOTT

Last Name

DEFEO

Business Name

DANIEL SCOTT DEFEO DO

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Family Practice/Emergency Medicine

Ever Disciplined

LastModifiedDate

07/19/2011