GUAJIRA PIEDAD THOMAS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054700

License Status

CANCELLED

Business

Title

First Name

GUAJIRA

Middle

PIEDAD

Last Name

THOMAS

Business Name

GUAJIRA PIEDAD THOMAS MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Infectious Disease

Ever Disciplined

LastModifiedDate

06/08/2011