CARMEN R MEJIA-CARVAJAL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046525

License Status

CANCELLED

Business

First Name

CARMEN

Middle

Last Name

MEJIA-CARVAJAL

Suffix

Business Name

CARMEN R MEJIA-CARVAJAL MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Pediatric Hematology-Oncology

Ever Disciplined

LastModifiedDate

09/22/2006