MIRIAM M BALTUANO SONGHURST MD - Medical Doctor License in Illinois | # 036155608

MIRIAM M BALTUANO SONGHURST MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155608

License Status

NOT RENEWED

Business

N

Title

MD

First Name

MIRIAM

Middle

M

Last Name

BALTUANO SONGHURST

Business Name

MIRIAM M BALTUANO SONGHURST MD

Original Issue Date

02/11/2021

Effective Date

02/11/2021

Expiration Date

07/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

11/30/2023