JOSE GUSTAVO CEVALLOS YEPEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057182

License Status

CANCELLED

Business

First Name

JOSE

Middle

GUSTAVO

Last Name

CEVALLOS YEPEZ

Suffix

Business Name

JOSE GUSTAVO CEVALLOS YEPEZ MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

09/21/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/21/2012