GRATO G PANEQUE JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012989

License Status

EXPIRED

Business

First Name

GRATO

Middle

Last Name

PANEQUE

Suffix

JR MD

Business Name

GRATO G PANEQUE JR MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

06/11/1983

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006