AMANDO R MEDINA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055802

License Status

NOT RENEWED

Business

First Name

AMANDO R

Last Name

MEDINA

Suffix

Business Name

AMANDO R MEDINA MD

Original Issue Date

09/23/1977

Effective Date

09/23/1977

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006