REMEDIOS S NATIVIDAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050703

License Status

NOT RENEWED

Business

First Name

REMEDIOS S

Last Name

NATIVIDAD

Suffix

Business Name

REMEDIOS S NATIVIDAD MD

Original Issue Date

02/25/1975

Effective Date

02/25/1975

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60655

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006