MA THEA VIEJON DOLAR Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034136

License Status

EXPIRED

Business

First Name

MA THEA VIEJON

Last Name

DOLAR

Business Name

MA THEA VIEJON DOLAR

Original Issue Date

05/08/1996

Effective Date

05/08/1996

Expiration Date

06/23/1999

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006