MARISHA A LUCERO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024422

License Status

EXPIRED

Business

First Name

MARISHA A

Last Name

LUCERO

Business Name

MARISHA A LUCERO

Original Issue Date

07/11/1989

Effective Date

07/11/1989

Expiration Date

06/26/1992

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006