ANDRE T DEJEAN Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

INOPERATIVE

Business

First Name

ANDRE

Middle

Last Name

DEJEAN

Business Name

ANDRE T DEJEAN

Original Issue Date

05/07/2002

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2023