JORGE ENRIQUE MARTINEZ CUELLAR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049910

License Status

EXPIRED

Business

First Name

JORGE

Middle

ENRIQUE

Last Name

MARTINEZ CUELLAR

Suffix

Business Name

JORGE ENRIQUE MARTINEZ CUELLAR MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

08/07/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/13/2008