PATRICIO BUENA V ILADA IV MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024154

License Status

EXPIRED

Business

First Name

PATRICIO

Middle

BUENA V

Last Name

ILADA

Suffix

IV MD

Business Name

PATRICIO BUENA V ILADA IV MD

Original Issue Date

06/21/1989

Effective Date

06/21/1989

Expiration Date

06/30/1992

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006