MARIA VIRNA M EVANGELISTA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031553

License Status

EXPIRED

Business

First Name

MARIA VIRNA

Middle

Last Name

EVANGELISTA

Business Name

MARIA VIRNA M EVANGELISTA

Original Issue Date

05/26/1994

Effective Date

05/26/1994

Expiration Date

06/19/1997

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006