BEATRICE UTA MD - Medical Doctor License in Illinois | # 125040407

BEATRICE UTA MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040407

License Status

CANCELLED

Business

N

First Name

BEATRICE

Last Name

UTA

Suffix

MD

Business Name

BEATRICE UTA MD

Original Issue Date

08/01/1999

Effective Date

08/01/1999

Expiration Date

07/31/2002

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006