MARY DEHERRERA CODO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022611

License Status

EXPIRED

Business

First Name

MARY

Last Name

DEHERRERA CODO

Suffix

Business Name

MARY DEHERRERA CODO MD

Original Issue Date

06/03/1988

Effective Date

06/03/1988

Expiration Date

06/22/1991

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006