ANECTO MENDOZA GALLARDO JR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038915

License Status

CANCELLED

Business

First Name

ANECTO

Middle

MENDOZA

Last Name

GALLARDO

Suffix

JR MD

Business Name

ANECTO MENDOZA GALLARDO JR MD

Original Issue Date

02/02/1999

Effective Date

02/02/1999

Expiration Date

06/23/2000

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006