PRUDENCIO C LUCERO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022987

License Status

EXPIRED

Business

First Name

PRUDENCIO C

Last Name

LUCERO

Suffix

Business Name

PRUDENCIO C LUCERO MD

Original Issue Date

07/07/1988

Effective Date

07/07/1988

Expiration Date

06/27/1991

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006