HUMBERTO SIFUENTES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050907

License Status

EXPIRED

Business

First Name

HUMBERTO

Last Name

SIFUENTES

Suffix

Business Name

HUMBERTO SIFUENTES MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/15/2009