JUAN GODINEZ-PUEBLA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029150

License Status

EXPIRED

Business

First Name

JUAN

Last Name

GODINEZ-PUEBLA

Suffix

Business Name

JUAN GODINEZ-PUEBLA MD

Original Issue Date

09/21/1992

Effective Date

09/21/1992

Expiration Date

09/13/1995

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

09/22/2006