EUSTAQUIO S VALLEJO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047132

License Status

INACTIVE

Business

First Name

EUSTAQUIO S

Last Name

VALLEJO

Suffix

Business Name

EUSTAQUIO S VALLEJO MD

Original Issue Date

02/07/1973

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

04/17/2008

Case Number

1983000180

Action

Reprimand

Discipline Start Date

12/12/1985