DEMETRIO COSTALE MAGUIGAD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057733

License Status

INACTIVE

Business

First Name

DEMETRIO COSTALE

Last Name

MAGUIGAD

Suffix

Business Name

DEMETRIO COSTALE MAGUIGAD MD

Original Issue Date

08/21/1978

Effective Date

08/21/1978

Expiration Date

07/31/1993

City

BURR RIDGE

State

Zip

60652

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006