ANDREA DOLORES OLIVAS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052581

License Status

CANCELLED

Business

First Name

ANDREA

Middle

DOLORES

Last Name

OLIVAS

Suffix

Business Name

ANDREA DOLORES OLIVAS MD

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2010

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

05/09/2007