MAYRA E CACERES - Medical Doctor License in Illinois | # 125035236

MAYRA E CACERES

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035236

License Status

EXPIRED

Business

N

First Name

MAYRA

Middle

E

Last Name

CACERES

Business Name

MAYRA E CACERES

Original Issue Date

06/24/1996

Effective Date

06/24/1996

Expiration Date

06/30/1999

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/22/2006