Ralph Edwin Deforest Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

036036512

Status

Expired (Not Renewed)

First issued

May 20, 1960

Expired

July 31, 2005

License holder

Ralph Edwin Deforest Md

Entity type

Individual

Classifications

• Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons

More from the license record

Current term began

05/20/1960

Other Illinois licenses under this name

• IL
  Ralph Edwin Deforest Md

  License 33*****04

  Licensed Physician Controlled Substance (Medical Board)
  Expired

  Wilmette, IL

  Expired Jul 31, 2005

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