MARIO REY SALAZAR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045144

License Status

EXPIRED

Business

Title

First Name

MARIO

Middle

REY

Last Name

SALAZAR

Business Name

MARIO REY SALAZAR MD

Original Issue Date

06/20/2002

Effective Date

06/20/2002

Expiration Date

06/19/2005

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006