M CARMEN C CUDIAMAT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032226

License Status

EXPIRED

Business

First Name

M CARMEN C

Last Name

CUDIAMAT

Business Name

M CARMEN C CUDIAMAT

Original Issue Date

07/18/1994

Effective Date

07/18/1994

Expiration Date

07/14/1996

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006