DANIELA HUERTA DE HATHAWAY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054385

License Status

CANCELLED

Business

Title

First Name

DANIELA

Last Name

HUERTA DE HATHAWAY

Business Name

DANIELA HUERTA DE HATHAWAY MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/17/2008