LIDIA MARIA SEPULVEDA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060204

License Status

EXPIRED

Business

Title

First Name

LIDIA

Middle

MARIA

Last Name

SEPULVEDA

Business Name

LIDIA MARIA SEPULVEDA MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/13/2015