ANGELINE ROMAN ZARZUELA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049667

License Status

EXPIRED

Business

First Name

ANGELINE

Middle

ROMAN

Last Name

ZARZUELA

Suffix

Business Name

ANGELINE ROMAN ZARZUELA MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

CRYSTAL LAKE

State

Zip

60014

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/31/2008