MARVIN ANTONIO PORFIRIO S DUQUE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050194

License Status

EXPIRED

Business

First Name

MARVIN ANTONIO

Middle

PORFIRIO S

Last Name

DUQUE

Suffix

Business Name

MARVIN ANTONIO PORFIRIO S DUQUE MD

Original Issue Date

06/24/2005

Effective Date

06/24/2005

Expiration Date

06/23/2008

City

ROCKFORD

State

Zip

61103

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/26/2008