MARY JOAN DELASA GIDOR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048825

License Status

EXPIRED

Business

First Name

MARY JOAN

Middle

DELASA

Last Name

GIDOR

Suffix

Business Name

MARY JOAN DELASA GIDOR MD

Original Issue Date

07/21/2008

Effective Date

07/21/2008

Expiration Date

11/01/2008

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

11/05/2008