GERMAN F HENOSTROZA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041297

License Status

EXPIRED

Business

First Name

GERMAN

Middle

Last Name

HENOSTROZA

Business Name

GERMAN F HENOSTROZA

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2003

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/12/2007