JUSTIN MICHAEL DAGRACA MD - Medical Doctor License in Illinois | # 125055630

JUSTIN MICHAEL DAGRACA MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055630

License Status

CANCELLED

Business

N

Title

MD

First Name

JUSTIN

Middle

MICHAEL

Last Name

DAGRACA

Business Name

JUSTIN MICHAEL DAGRACA MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

03/12/2009