JUANITA MORA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046018

License Status

EXPIRED

Business

First Name

JUANITA

Last Name

MORA

Suffix

Business Name

JUANITA MORA MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2007