DIEGO JESUS PEREZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057255

License Status

EXPIRED

Business

First Name

DIEGO

Middle

JESUS

Last Name

PEREZ

Business Name

DIEGO JESUS PEREZ

Original Issue Date

07/30/2009

Effective Date

07/30/2009

Expiration Date

07/29/2011

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/30/2011