LUIS C DE VENECIA JR Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030074

License Status

EXPIRED

Business

First Name

LUIS C

Last Name

DE VENECIA JR

Business Name

LUIS C DE VENECIA JR

Original Issue Date

06/03/1993

Effective Date

06/03/1993

Expiration Date

06/23/1996

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006