CHRISTINE DERISSE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069058

License Status

EXPIRED

Business

Title

First Name

CHRISTINE

Last Name

DERISSE

Business Name

CHRISTINE DERISSE MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/02/2019