JONATHAN SEBASTIAN CORDOVA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058521

License Status

CANCELLED

Business

Title

First Name

JONATHAN

Middle

SEBASTIAN

Last Name

CORDOVA

Business Name

JONATHAN SEBASTIAN CORDOVA DO

Original Issue Date

06/21/2010

Effective Date

06/21/2010

Expiration Date

06/20/2013

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/17/2010