WALTER R PLASENCIA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030725

License Status

EXPIRED

Business

First Name

WALTER R

Last Name

PLASENCIA

Business Name

WALTER R PLASENCIA

Original Issue Date

08/20/1993

Effective Date

08/20/1993

Expiration Date

08/18/1996

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006