MIGUEL C CEREJO DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040957

License Status

EXPIRED

Business

First Name

MIGUEL

Middle

Last Name

CEREJO

Suffix

Business Name

MIGUEL C CEREJO DO

Original Issue Date

06/28/2000

Effective Date

06/28/2000

Expiration Date

06/30/2003

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006