DERVAL D PIMENTEL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027717

License Status

EXPIRED

Business

First Name

DERVAL

Middle

Last Name

PIMENTEL

Business Name

DERVAL D PIMENTEL

Original Issue Date

04/23/1992

Effective Date

04/23/1992

Expiration Date

04/26/1993

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

09/22/2006