EVELYN A LACUESTA MD Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042004075

License Status

NOT RENEWED

Business

Business Name

EVELYN A LACUESTA MD

Original Issue Date

05/12/1980

Effective Date

05/12/1980

Expiration Date

01/01/1987

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006