MA OLIVIA R SAN DIEGO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130487

License Status

NOT RENEWED

Business

Title

First Name

MA OLIVIA

Middle

Last Name

SAN DIEGO

Business Name

MA OLIVIA R SAN DIEGO MD

Original Issue Date

06/06/2012

Effective Date

04/15/2014

Expiration Date

07/31/2017

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017