HERRERA CARLOS SANDOVAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052691

License Status

EXPIRED

Business

First Name

HERRERA

Middle

CARLOS

Last Name

SANDOVAL

Suffix

Business Name

HERRERA CARLOS SANDOVAL MD

Original Issue Date

06/15/2007

Effective Date

06/15/2007

Expiration Date

06/14/2010

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

06/24/2010