JUAN E SANTIAGO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106875

License Status

NOT RENEWED

Business

First Name

JUAN

Middle

Last Name

SANTIAGO

Business Name

JUAN E SANTIAGO

Original Issue Date

05/07/2002

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008