JESSICA LYNN DEANGELIS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

LYNN

Last Name

DEANGELIS

Suffix

Business Name

JESSICA LYNN DEANGELIS DO

Original Issue Date

01/08/2007

Effective Date

01/08/2007

Expiration Date

07/31/2008

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008