CONSTANCE TAN PUA ALBARRACIN - Medical Doctor License in Illinois | # 125035482

CONSTANCE TAN PUA ALBARRACIN

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035482

License Status

EXPIRED

Business

N

First Name

CONSTANCE

Middle

TAN PUA

Last Name

ALBARRACIN

Business Name

CONSTANCE TAN PUA ALBARRACIN

Original Issue Date

07/30/1996

Effective Date

07/30/1996

Expiration Date

07/28/2000

State

IL

Specialty/Qualifier

Pathology

Ever Disciplined

N

LastModifiedDate

09/22/2006