CARLOS M SANTOS DEJESUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132823

License Status

NOT RENEWED

Business

Title

First Name

CARLOS

Middle

Last Name

SANTOS DEJESUS

Business Name

CARLOS M SANTOS DEJESUS MD

Original Issue Date

05/08/2013

Effective Date

05/08/2013

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014