ANDREA OCAMPO COLADA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048741

License Status

CANCELLED

Business

First Name

ANDREA

Middle

OCAMPO

Last Name

COLADA

Suffix

Business Name

ANDREA OCAMPO COLADA MD

Original Issue Date

07/15/2004

Effective Date

07/15/2004

Expiration Date

07/14/2007

City

RANCHO CUCAMONGA

State

Zip

91739

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006