MIGENA BETZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052944

License Status

CANCELLED

Business

Title

First Name

MIGENA

Last Name

BETZ

Business Name

MIGENA BETZ MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2012

City

S BARRINGTON

State

Zip

60010

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

06/15/2010