SANTIAGO A CANDOCIA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019404

License Status

EXPIRED

Business

First Name

SANTIAGO A

Last Name

CANDOCIA

Business Name

SANTIAGO A CANDOCIA

Original Issue Date

06/12/1986

Effective Date

06/12/1986

Expiration Date

06/24/1989

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006