AMANTE T Q PULIDO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067816

License Status

NOT RENEWED

Business

First Name

AMANTE T Q

Last Name

PULIDO

Suffix

Business Name

AMANTE T Q PULIDO MD

Original Issue Date

10/13/1983

Effective Date

10/13/1983

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006