JEREMIAH BUSOG PLACIDO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051119

License Status

EXPIRED

Business

Title

First Name

JEREMIAH

Middle

BUSOG

Last Name

PLACIDO

Business Name

JEREMIAH BUSOG PLACIDO MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

07/08/2010