MIRIAM M BALTUANO SONGHURST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155608

License Status

NOT RENEWED

Business

Title

First Name

MIRIAM

Middle

Last Name

BALTUANO SONGHURST

Business Name

MIRIAM M BALTUANO SONGHURST MD

Original Issue Date

02/11/2021

Effective Date

02/11/2021

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023