JUAN CAMILO BARRETO ANDRADE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056105

License Status

CANCELLED

Business

Title

First Name

JUAN

Middle

CAMILO

Last Name

BARRETO ANDRADE

Business Name

JUAN CAMILO BARRETO ANDRADE MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Surgical Oncology

Ever Disciplined

LastModifiedDate

03/26/2009