MARIO S ESCALANTE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029131

License Status

EXPIRED

Business

First Name

MARIO S

Last Name

ESCALANTE

Business Name

MARIO S ESCALANTE

Original Issue Date

09/03/1992

Effective Date

09/03/1992

Expiration Date

09/01/1995

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006