JUAN AMBROSE INSUA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048931

License Status

EXPIRED

Business

First Name

JUAN

Middle

AMBROSE

Last Name

INSUA

Suffix

Business Name

JUAN AMBROSE INSUA MD

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2008

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

06/26/2008