MERRIE L VISCARRA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043062

License Status

EXPIRED

Business

Title

First Name

MERRIE

Middle

Last Name

VISCARRA

Business Name

MERRIE L VISCARRA DO

Original Issue Date

06/19/2001

Effective Date

06/19/2001

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006