REBECCA JANE DEBOER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059113

License Status

CANCELLED

Business

First Name

REBECCA

Middle

JANE

Last Name

DEBOER

Suffix

Business Name

REBECCA JANE DEBOER MD

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

06/23/2014

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/20/2011