JOEL SY EVANGELISTA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025176

License Status

EXPIRED

Business

First Name

JOEL SY

Last Name

EVANGELISTA

Business Name

JOEL SY EVANGELISTA

Original Issue Date

05/25/1990

Effective Date

05/25/1990

Expiration Date

01/18/1994

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006