BERNARD L DEKONING MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

BERNARD L

Last Name

DEKONING

Suffix

Business Name

BERNARD L DEKONING MD

Original Issue Date

11/14/1983

Effective Date

11/14/1983

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020