ROSAURA LICEA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091269

License Status

ACTIVE

Business

First Name

ROSAURA

Last Name

LICEA

Business Name

ROSAURA LICEA

Original Issue Date

07/13/1995

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

CICERO

State

Zip

60804

County

COOK

Ever Disciplined

LastModifiedDate

06/21/2023