MARYVIC C CUISON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020456

License Status

EXPIRED

Business

First Name

MARYVIC C

Last Name

CUISON

Suffix

Business Name

MARYVIC C CUISON DO

Original Issue Date

04/06/1987

Effective Date

04/06/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006