MARIO E EYZAGUIRRE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014955

License Status

EXPIRED

Business

First Name

MARIO E

Last Name

EYZAGUIRRE

Suffix

Business Name

MARIO E EYZAGUIRRE MD

Original Issue Date

08/23/1982

Effective Date

08/23/1982

Expiration Date

07/01/1984

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006