PAUL MICHAEL DEROSE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000411

License Status

EXPIRED

Business

First Name

PAUL

Middle

MICHAEL

Last Name

DEROSE

Suffix

Business Name

PAUL MICHAEL DEROSE MD

Original Issue Date

06/01/2010

Effective Date

06/01/2010

Expiration Date

06/30/2010

City

WESTMONT

State

Zip

60559

County

DUPAGE

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

07/08/2010