MICHAEL D MENDOZA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000190

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

Last Name

MENDOZA

Suffix

Business Name

MICHAEL D MENDOZA MD

Original Issue Date

03/27/2003

Effective Date

03/27/2003

Expiration Date

12/31/2003

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2006