AMELIA LUCY BOTSFORD SANTOS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054153

License Status

CANCELLED

Business

Title

First Name

AMELIA

Middle

LUCY BOTSFORD

Last Name

SANTOS

Business Name

AMELIA LUCY BOTSFORD SANTOS MD

Original Issue Date

06/23/2008

Effective Date

06/23/2008

Expiration Date

06/22/2011

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

05/01/2008