MARIO ISAAC BERROCAL O'HIGGINS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051146

License Status

EXPIRED

Business

First Name

MARIO

Middle

ISAAC

Last Name

BERROCAL O'HIGGINS

Suffix

Business Name

MARIO ISAAC BERROCAL O'HIGGINS 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