GENARO F VALLADOLID MUNGUIA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059987

License Status

EXPIRED

Business

Title

First Name

GENARO

Middle

Last Name

VALLADOLID MUNGUIA

Business Name

GENARO F VALLADOLID MUNGUIA MD

Original Issue Date

07/31/2014

Effective Date

07/31/2014

Expiration Date

07/30/2016

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

08/16/2016