DINO A DELAURENTIS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

DINO A

Last Name

DELAURENTIS

Business Name

DINO A DELAURENTIS

Original Issue Date

04/05/2002

Effective Date

08/06/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/10/2011