JAIME QUEZADA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112070

License Status

NOT RENEWED

Business

Title

First Name

JAIME

Last Name

QUEZADA

Business Name

JAIME QUEZADA MD

Original Issue Date

08/10/2004

Effective Date

05/15/2020

Expiration Date

07/31/2023

City

RICHMOND

State

Zip

60071

County

MCHENRY

Ever Disciplined

LastModifiedDate

11/30/2023