DIEGO JESUS PEREZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127187

License Status

NOT RENEWED

Business

First Name

DIEGO

Middle

JESUS

Last Name

PEREZ

Business Name

DIEGO JESUS PEREZ

Original Issue Date

02/09/2011

Effective Date

02/09/2011

Expiration Date

07/31/2011

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011