ELIZABETH A HEREDIA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029521

License Status

EXPIRED

Business

First Name

ELIZABETH A

Last Name

HEREDIA

Business Name

ELIZABETH A HEREDIA

Original Issue Date

05/10/1993

Effective Date

05/10/1993

Expiration Date

06/30/1996

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006