DESIREE I FABROS MUNEZ Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022069

License Status

CANCELLED

Business

First Name

DESIREE I

Last Name

FABROS MUNEZ

Business Name

DESIREE I FABROS MUNEZ

Original Issue Date

05/07/1988

Effective Date

05/07/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006