OTTO ALDANA CENTENO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017535

License Status

EXPIRED

Business

First Name

OTTO

Last Name

ALDANA CENTENO

Suffix

Business Name

OTTO ALDANA CENTENO MD

Original Issue Date

07/17/1984

Effective Date

07/17/1984

Expiration Date

07/01/1986

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006