RAUL R MONTIAGUE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035554

License Status

EXPIRED

Business

First Name

RAUL

Middle

Last Name

MONTIAGUE

Suffix

Business Name

RAUL R MONTIAGUE MD

Original Issue Date

10/03/1996

Effective Date

10/03/1996

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006