S DAVID DEMOREST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

Middle

DAVID

Last Name

DEMOREST

Suffix

Business Name

S DAVID DEMOREST MD

Original Issue Date

02/18/1987

Effective Date

07/08/2008

Expiration Date

07/31/2011

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017