ILUMINADA HOLGAD DAZA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054070

License Status

INACTIVE

Business

First Name

ILUMINADA HOLGAD

Last Name

DAZA

Suffix

Business Name

ILUMINADA HOLGAD DAZA MD

Original Issue Date

01/13/1977

Effective Date

07/08/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2011