MARIO E EYZAGUIRRE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067069

License Status

NOT RENEWED

Business

First Name

MARIO E

Last Name

EYZAGUIRRE

Suffix

Business Name

MARIO E EYZAGUIRRE MD

Original Issue Date

07/21/1983

Effective Date

07/21/1983

Expiration Date

07/31/1987

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006