DENNIS PATRICK DERUELLE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

ACTIVE

Business

Title

First Name

DENNIS

Middle

PATRICK

Last Name

DERUELLE

Business Name

DENNIS PATRICK DERUELLE MD

Original Issue Date

06/17/2024

Effective Date

06/17/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026