JOSELUIS AGUSTI - Medical Doctor License in Illinois | # 125036701

JOSELUIS AGUSTI

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036701

License Status

EXPIRED

Business

N

First Name

JOSELUIS

Last Name

AGUSTI

Business Name

JOSELUIS AGUSTI

Original Issue Date

06/13/1997

Effective Date

06/13/1997

Expiration Date

06/30/2000

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006