JACOBO N LAMA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025732

License Status

EXPIRED

Business

First Name

JACOBO N

Last Name

LAMA

Business Name

JACOBO N LAMA

Original Issue Date

06/26/1990

Effective Date

06/26/1990

Expiration Date

06/30/1993

City

CHICAGO

State

Zip

60635

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006