JAVIER MARUENDA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032062

License Status

EXPIRED

Business

First Name

JAVIER

Last Name

MARUENDA

Business Name

JAVIER MARUENDA

Original Issue Date

06/30/1994

Effective Date

06/30/1994

Expiration Date

06/30/1997

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006