CONSTANCE TAN PUA ALBARRACIN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035482

License Status

EXPIRED

Business

First Name

CONSTANCE

Middle

TAN PUA

Last Name

ALBARRACIN

Business Name

CONSTANCE TAN PUA ALBARRACIN

Original Issue Date

07/30/1996

Effective Date

07/30/1996

Expiration Date

07/28/2000

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006