CARMELITA SURLA AQUINO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059201

License Status

NOT RENEWED

Business

First Name

CARMELITA SURLA

Last Name

AQUINO

Suffix

Business Name

CARMELITA SURLA AQUINO MD

Original Issue Date

08/20/1979

Effective Date

08/20/1979

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006