JOANNA E BETANCOURT MD - Medical Doctor License in Illinois | # 125035637

JOANNA E BETANCOURT MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035637

License Status

EXPIRED

Business

N

First Name

JOANNA

Middle

E

Last Name

BETANCOURT

Suffix

MD

Business Name

JOANNA E BETANCOURT MD

Original Issue Date

04/02/1997

Effective Date

04/02/1997

Expiration Date

06/30/2000

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/22/2006