JON MIKEL AZKUE MD - Medical Doctor License in Illinois | # 125062484

JON MIKEL AZKUE MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062484

License Status

CANCELLED

Business

N

Title

MD

First Name

JON

Middle

MIKEL

Last Name

AZKUE

Business Name

JON MIKEL AZKUE MD

Original Issue Date

08/17/2012

Effective Date

08/17/2012

Expiration Date

08/16/2015

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

03/09/2015