HENRY SANTOS JUAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030506

License Status

EXPIRED

Business

First Name

HENRY SANTOS

Last Name

JUAN

Suffix

Business Name

HENRY SANTOS JUAN MD

Original Issue Date

06/28/1993

Effective Date

06/28/1993

Expiration Date

06/30/1996

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006