IRMA ESTACIO MARAVILLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061919

License Status

ACTIVE

Business

First Name

IRMA ESTACIO

Last Name

MARAVILLA

Suffix

Business Name

IRMA ESTACIO MARAVILLA MD

Original Issue Date

04/02/1981

Effective Date

06/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

06/04/2023