JOSE LUIS HUERTA SUAREZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056908

License Status

CANCELLED

Business

Title

First Name

JOSE

Middle

LUIS

Last Name

HUERTA SUAREZ

Business Name

JOSE LUIS HUERTA SUAREZ MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/15/2011