DIEGO P ANDRADE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106210

License Status

NOT RENEWED

Business

First Name

DIEGO

Middle

Last Name

ANDRADE

Business Name

DIEGO P ANDRADE

Original Issue Date

02/01/2002

Effective Date

02/01/2002

Expiration Date

07/31/2005

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006