DANIELA COROMOTO ATENCIO BOHORQUEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142955

License Status

NOT RENEWED

Business

Title

First Name

DANIELA

Middle

COROMOTO

Last Name

ATENCIO BOHORQUEZ

Business Name

DANIELA COROMOTO ATENCIO BOHORQUEZ MD

Original Issue Date

04/11/2017

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021