ERNESTO ULYSSES CAMPOS - Medical Doctor License in Illinois | # 125047398

ERNESTO ULYSSES CAMPOS

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047398

License Status

EXPIRED

Business

N

First Name

ERNESTO

Middle

ULYSSES

Last Name

CAMPOS

Business Name

ERNESTO ULYSSES CAMPOS

Original Issue Date

06/23/2004

Effective Date

06/23/2004

Expiration Date

06/22/2007

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

07/03/2007