NAIM GUSTAVO DEL CARMEN MITRE CALDERON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045827

License Status

NOT RENEWED

Business

First Name

NAIM GUSTAVO

Middle

DEL CARMEN

Last Name

MITRE CALDERON

Suffix

Business Name

NAIM GUSTAVO DEL CARMEN MITRE CALDERON MD

Original Issue Date

05/02/2003

Effective Date

05/02/2003

Expiration Date

09/11/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

11/03/2006