TINA V VALDEZ DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058653

License Status

CANCELLED

Business

Title

First Name

TINA

Middle

Last Name

VALDEZ

Business Name

TINA V VALDEZ DO

Original Issue Date

06/21/2010

Effective Date

06/21/2010

Expiration Date

06/20/2013

City

CHICAGO

State

Zip

60621

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/09/2010