EVELYN A LACUESTA MD - Medical Corporation License in Illinois | # 042004075

EVELYN A LACUESTA MD

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042004075

License Status

NOT RENEWED

Business

Y

Business Name

EVELYN A LACUESTA MD

Original Issue Date

05/12/1980

Effective Date

05/12/1980

Expiration Date

01/01/1987

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006