RAFAEL A PELEGRIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016271

License Status

EXPIRED

Business

First Name

RAFAEL

Middle

Last Name

PELEGRIN

Suffix

Business Name

RAFAEL A PELEGRIN MD

Original Issue Date

07/26/1983

Effective Date

07/26/1983

Expiration Date

07/01/1985

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006