PATRICIA P VIDAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025321

License Status

EXPIRED

Business

Title

First Name

PATRICIA P

Last Name

VIDAL

Business Name

PATRICIA P VIDAL MD

Original Issue Date

06/06/1990

Effective Date

06/06/1990

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006