MARIE-ELLEN TUBAL SARVIDA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045317

License Status

EXPIRED

Business

First Name

MARIE-ELLEN

Middle

TUBAL

Last Name

SARVIDA

Suffix

Business Name

MARIE-ELLEN TUBAL SARVIDA MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006