REBECCA MARIE LORET DE MOLA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119540

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

MARIE

Last Name

LORET DE MOLA

Suffix

Business Name

REBECCA MARIE LORET DE MOLA DO

Original Issue Date

10/16/2007

Effective Date

04/19/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014