JOAQUIN SANTOLAYA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029177

License Status

EXPIRED

Business

First Name

JOAQUIN

Last Name

SANTOLAYA

Business Name

JOAQUIN SANTOLAYA

Original Issue Date

11/02/1992

Effective Date

11/02/1992

Expiration Date

11/01/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

M.L.B. Approved Program

Ever Disciplined

LastModifiedDate

09/22/2006