OMAR ANTHONY VALENCIA ESLAO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050077

License Status

EXPIRED

Business

First Name

OMAR ANTHONY

Middle

VALENCIA

Last Name

ESLAO

Suffix

Business Name

OMAR ANTHONY VALENCIA ESLAO MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

07/31/2008