JUDITH RIVERA CANLAS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044878

License Status

EXPIRED

Business

First Name

JUDITH

Middle

RIVERA

Last Name

CANLAS

Suffix

Business Name

JUDITH RIVERA CANLAS MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006