ANGEL HEREDIA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020720

License Status

EXPIRED

Business

First Name

ANGEL

Last Name

HEREDIA

Suffix

Business Name

ANGEL HEREDIA MD

Original Issue Date

05/06/1987

Effective Date

05/06/1987

Expiration Date

07/01/1990

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006