MIGUEL A MAZARIEGOS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029160

License Status

EXPIRED

Business

First Name

MIGUEL A

Last Name

MAZARIEGOS

Business Name

MIGUEL A MAZARIEGOS

Original Issue Date

10/15/1992

Effective Date

10/15/1992

Expiration Date

10/14/1995

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006