ANTONIO MARTIN JIMENEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051409

License Status

CANCELLED

Business

First Name

ANTONIO

Middle

MARTIN

Last Name

JIMENEZ

Suffix

Business Name

ANTONIO MARTIN JIMENEZ 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

09/22/2006