JENNIFER ACOSTAMADIEDO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071547

License Status

CANCELLED

Business

Title

First Name

JENNIFER

Last Name

ACOSTAMADIEDO

Business Name

JENNIFER ACOSTAMADIEDO MD

Original Issue Date

07/11/2017

Effective Date

07/11/2017

Expiration Date

07/10/2020

City

LOS ANGELES

State

Zip

90025

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/11/2017