DOROTHEA L DEGUTIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

DOROTHEA L

Last Name

DEGUTIS

Suffix

Business Name

DOROTHEA L DEGUTIS MD

Original Issue Date

11/25/2003

Effective Date

11/25/2003

Expiration Date

07/31/2008

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008