ANTONIO MARTIN FLORES ERAZO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048883

License Status

EXPIRED

Business

First Name

ANTONIO

Middle

MARTIN

Last Name

FLORES ERAZO

Suffix

Business Name

ANTONIO MARTIN FLORES ERAZO MD

Original Issue Date

08/01/2005

Effective Date

08/01/2005

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/31/2008