OSVALDO HECTOR PERURENA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057265

License Status

NOT RENEWED

Business

First Name

OSVALDO HECTOR

Last Name

PERURENA

Suffix

Business Name

OSVALDO HECTOR PERURENA MD

Original Issue Date

07/24/1978

Effective Date

07/24/1978

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006