DONNA IGNACIO VASQUEZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046425

License Status

EXPIRED

Business

First Name

DONNA

Middle

IGNACIO

Last Name

VASQUEZ

Business Name

DONNA IGNACIO VASQUEZ

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006