RAFAEL TEJADA DIAZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045307

License Status

EXPIRED

Business

First Name

RAFAEL

Last Name

TEJADA DIAZ

Business Name

RAFAEL TEJADA DIAZ

Original Issue Date

07/05/2002

Effective Date

07/05/2002

Expiration Date

07/04/2005

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006