DEVON MARIE DIVITO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063842

License Status

EXPIRED

Business

Title

First Name

DEVON

Middle

MARIE

Last Name

DIVITO

Business Name

DEVON MARIE DIVITO MD

Original Issue Date

06/25/2013

Effective Date

06/25/2013

Expiration Date

06/24/2014

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

03/13/2015