OSVALDO F MARDONES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027553

License Status

EXPIRED

Business

First Name

OSVALDO F

Last Name

MARDONES

Suffix

Business Name

OSVALDO F MARDONES MD

Original Issue Date

09/17/1991

Effective Date

09/17/1991

Expiration Date

09/15/1994

City

CHICAGO

State

Zip

60660

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006