RICHARD JAMES DEJONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

First Name

RICHARD JAMES

Last Name

DEJONG

Suffix

Business Name

RICHARD JAMES DEJONG MD

Original Issue Date

01/01/1997

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/25/2023