CARMEN PATRICIA MACIAS HUERTA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025939

License Status

EXPIRED

Business

First Name

CARMEN

Middle

PATRICIA

Last Name

MACIAS HUERTA

Suffix

Business Name

CARMEN PATRICIA MACIAS HUERTA MD

Original Issue Date

07/20/1990

Effective Date

07/20/1990

Expiration Date

07/19/1993

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

02/27/2009