EUGENIO L MENDOZA IV MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072984

License Status

INACTIVE

Business

First Name

EUGENIO L

Last Name

MENDOZA IV

Suffix

Business Name

EUGENIO L MENDOZA IV MD

Original Issue Date

06/11/1986

Effective Date

06/14/2017

Expiration Date

09/30/2020

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Ever Disciplined

LastModifiedDate

04/05/2020