CONCEPTA MAE V LASQUITE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083208

License Status

NOT RENEWED

Business

First Name

CONCEPTA MAE V

Last Name

LASQUITE

Suffix

Business Name

CONCEPTA MAE V LASQUITE MD

Original Issue Date

10/09/1991

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

1991005389

Action

Reprimand

Discipline Start Date

10/02/1991

Discipline Reason

Worked as a physician assistant without a license and performed duties which may have constituted the unlicensed practice of medicine.