JONATHAN SEBASTIAN CORDOVA DO - Medical Doctor License in Illinois | # 125058521

JONATHAN SEBASTIAN CORDOVA DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058521

License Status

CANCELLED

Business

N

Title

DO

First Name

JONATHAN

Middle

SEBASTIAN

Last Name

CORDOVA

Business Name

JONATHAN SEBASTIAN CORDOVA DO

Original Issue Date

06/21/2010

Effective Date

06/21/2010

Expiration Date

06/20/2013

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

05/17/2010