DIEGO P ANDRADE - Medical Doctor License in Illinois | # 036106210

DIEGO P ANDRADE

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106210

License Status

NOT RENEWED

Business

N

First Name

DIEGO

Middle

P

Last Name

ANDRADE

Business Name

DIEGO P ANDRADE

Original Issue Date

02/01/2002

Effective Date

02/01/2002

Expiration Date

07/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006