ADRIANA CARMENZA BERMEO OVALLE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053781

License Status

EXPIRED

Business

Title

First Name

ADRIANA

Middle

CARMENZA

Last Name

BERMEO OVALLE

Business Name

ADRIANA CARMENZA BERMEO OVALLE MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

07/19/2011