EUTIQUIO D IMPERIAL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032345

License Status

EXPIRED

Business

First Name

EUTIQUIO

Middle

Last Name

IMPERIAL

Business Name

EUTIQUIO D IMPERIAL

Original Issue Date

09/07/1994

Effective Date

09/07/1994

Expiration Date

09/30/1997

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Thoracic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006