ISAAC ERNESTO TRELLES MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053788

License Status

CANCELLED

Business

Title

First Name

ISAAC

Middle

ERNESTO

Last Name

TRELLES

Business Name

ISAAC ERNESTO TRELLES MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Geriatric Medicine

Ever Disciplined

LastModifiedDate

06/28/2007