CARMEN J BOTERO - Medical Doctor License in Illinois | # 125022724

CARMEN J BOTERO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022724

License Status

EXPIRED

Business

N

First Name

CARMEN

Middle

J

Last Name

BOTERO

Business Name

CARMEN J BOTERO

Original Issue Date

06/11/1988

Effective Date

06/11/1988

Expiration Date

07/01/1991

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/22/2006