CARLO H NIGUIDULA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037063

License Status

EXPIRED

Business

First Name

CARLO

Middle

Last Name

NIGUIDULA

Business Name

CARLO H NIGUIDULA

Original Issue Date

07/02/1997

Effective Date

07/02/1997

Expiration Date

06/30/2000

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006