HENRY SANTOS JUAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093711

License Status

NOT RENEWED

Business

First Name

HENRY SANTOS

Last Name

JUAN

Suffix

Business Name

HENRY SANTOS JUAN MD

Original Issue Date

07/22/1996

Effective Date

07/22/1996

Expiration Date

07/31/1999

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

10/25/2018