FERNANDO ANIBAL AMPUERO MEDINA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012759

License Status

EXPIRED

Business

First Name

FERNANDO ANIBAL

Last Name

AMPUERO MEDINA

Suffix

Business Name

FERNANDO ANIBAL AMPUERO MEDINA MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

07/01/1983

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006