CAMILA MARIA C ORIG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112692

License Status

NOT RENEWED

Business

First Name

CAMILA MARIA

Middle

Last Name

ORIG

Business Name

CAMILA MARIA C ORIG

Original Issue Date

11/23/2004

Effective Date

07/20/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014