CARRIE D MENDOZA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042946

License Status

EXPIRED

Business

Title

First Name

CARRIE

Middle

Last Name

MENDOZA

Business Name

CARRIE D MENDOZA MD

Original Issue Date

06/24/2001

Effective Date

06/24/2001

Expiration Date

06/23/2002

City

HAZEL CREST

State

Zip

60429

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006