ERIN JEAN PLAZA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054723

License Status

CANCELLED

Business

First Name

ERIN

Middle

JEAN

Last Name

PLAZA

Suffix

Business Name

ERIN JEAN PLAZA 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

Anesthesiology

Ever Disciplined

LastModifiedDate

04/15/2008