MARY GRACE AGUILAR SANTOS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052317

License Status

EXPIRED

Business

Title

First Name

MARY GRACE

Middle

AGUILAR

Last Name

SANTOS

Business Name

MARY GRACE AGUILAR SANTOS MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Geriatric Medicine

Ever Disciplined

LastModifiedDate

07/19/2011