MARION E BETANCOURT Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037258

License Status

CANCELLED

Business

First Name

MARION

Middle

Last Name

BETANCOURT

Business Name

MARION E BETANCOURT

Original Issue Date

12/29/1997

Effective Date

12/29/1997

Expiration Date

12/31/2001

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006