JUAN JOSE UGARTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038653

License Status

NOT RENEWED

Business

First Name

JUAN JOSE

Last Name

UGARTE

Suffix

Business Name

JUAN JOSE UGARTE MD

Original Issue Date

09/11/1963

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/14/2011