LISA CARMEN JUAREZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051803

License Status

CANCELLED

Business

First Name

LISA

Middle

CARMEN

Last Name

JUAREZ

Suffix

Business Name

LISA CARMEN JUAREZ MD

Original Issue Date

10/01/2010

Effective Date

10/01/2010

Expiration Date

09/30/2011

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/17/2010