MICHAEL H DEPREST Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

MICHAEL H

Last Name

DEPREST

Business Name

MICHAEL H DEPREST

Original Issue Date

04/04/1990

Effective Date

04/04/1990

Expiration Date

07/31/1993

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020