CARL MICHAEL ORQUIA Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034678

License Status

CANCELLED

Business

First Name

CARL

Middle

MICHAEL

Last Name

ORQUIA

Business Name

CARL MICHAEL ORQUIA

Original Issue Date

05/23/1996

Effective Date

05/23/1996

Expiration Date

06/30/1999

City

HINSDALE

State

Zip

60521

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006