EDWIN VEGUILLA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023510

License Status

EXPIRED

Business

First Name

EDWIN

Last Name

VEGUILLA

Business Name

EDWIN VEGUILLA

Original Issue Date

05/04/1989

Effective Date

05/04/1989

Expiration Date

06/30/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006