AMELIA LUCY BOTSFORD SANTOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128296

License Status

NOT RENEWED

Business

Title

First Name

AMELIA

Middle

LUCY BOTSFORD

Last Name

SANTOS

Business Name

AMELIA LUCY BOTSFORD SANTOS MD

Original Issue Date

06/30/2011

Effective Date

06/30/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014