EZEQUIEL MENDEZ HUERTA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028271

License Status

EXPIRED

Business

First Name

EZEQUIEL

Last Name

MENDEZ HUERTA

Business Name

EZEQUIEL MENDEZ HUERTA

Original Issue Date

05/20/1992

Effective Date

05/20/1992

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006