GRACE BAYUDAN DELOS SANTOS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057113

License Status

CANCELLED

Business

Title

First Name

GRACE

Middle

BAYUDAN

Last Name

DELOS SANTOS

Business Name

GRACE BAYUDAN DELOS SANTOS MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2014

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

03/24/2014