RAYMOND G MACEREN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047012

License Status

EXPIRED

Business

First Name

RAYMOND

Middle

Last Name

MACEREN

Business Name

RAYMOND G MACEREN

Original Issue Date

07/14/2003

Effective Date

07/14/2003

Expiration Date

07/13/2006

City

AURORA

State

Zip

60504

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006