JOSE-LUIS E VELAZQUEZ-CECENA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041723

License Status

EXPIRED

Business

First Name

JOSE-LUIS

Middle

Last Name

VELAZQUEZ-CECENA

Suffix

Business Name

JOSE-LUIS E VELAZQUEZ-CECENA MD

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2003

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006