S DAVID DEMOREST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

Middle

DAVID

Last Name

DEMOREST

Suffix

Business Name

S DAVID DEMOREST MD

Original Issue Date

11/16/1983

Effective Date

05/24/2011

Expiration Date

07/31/2014

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/26/2020

Case Number

2010003611

Action

Permanent Inactive

Discipline Start Date

05/22/2020

Discipline Reason

controlled substance license restored to permanent inactive status.