EVANGELINE Z DE SAGUN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030627

License Status

EXPIRED

Business

First Name

EVANGELINE

Middle

Last Name

DE SAGUN

Business Name

EVANGELINE Z DE SAGUN

Original Issue Date

07/12/1993

Effective Date

07/12/1993

Expiration Date

08/23/1997

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006