CARLA V QUIJANO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043854

License Status

EXPIRED

Business

First Name

CARLA

Middle

Last Name

QUIJANO

Suffix

Business Name

CARLA V QUIJANO MD

Original Issue Date

06/24/2002

Effective Date

06/24/2002

Expiration Date

06/30/2006

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006