JUAN M MEDINA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024041

License Status

EXPIRED

Business

First Name

JUAN

Middle

Last Name

MEDINA

Suffix

Business Name

JUAN M MEDINA MD

Original Issue Date

06/07/1989

Effective Date

06/07/1989

Expiration Date

06/06/1992

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006