ANTONIO MARTIN JIMENEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123422

License Status

NOT RENEWED

Business

First Name

ANTONIO

Middle

MARTIN

Last Name

JIMENEZ

Suffix

Business Name

ANTONIO MARTIN JIMENEZ MD

Original Issue Date

05/13/2009

Effective Date

08/07/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017