ROGER AUGUSTO MONTENEGRO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045363

License Status

EXPIRED

Business

First Name

ROGER

Middle

AUGUSTO

Last Name

MONTENEGRO

Suffix

Business Name

ROGER AUGUSTO MONTENEGRO MD

Original Issue Date

07/17/2002

Effective Date

07/17/2002

Expiration Date

07/16/2005

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006