ERIN ANDREA CONSUELO MORALES UBICO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141685

License Status

NOT RENEWED

Business

Title

First Name

ERIN

Middle

ANDREA CONSUELO

Last Name

MORALES UBICO

Business Name

ERIN ANDREA CONSUELO MORALES UBICO MD

Original Issue Date

09/13/2016

Effective Date

09/13/2016

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017