ERIC AGUINALDO DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060390

License Status

CANCELLED

Business

Title

First Name

ERIC

Last Name

AGUINALDO

Business Name

ERIC AGUINALDO DO

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

BLUE ISLAND

State

Zip

60406

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/13/2015