LUIS MIGUEL BARCENA BLANCH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060694

License Status

CANCELLED

Business

Title

First Name

LUIS

Middle

MIGUEL

Last Name

BARCENA BLANCH

Business Name

LUIS MIGUEL BARCENA BLANCH MD

Original Issue Date

07/22/2011

Effective Date

07/22/2011

Expiration Date

07/21/2013

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Infectious Disease

Ever Disciplined

LastModifiedDate

07/22/2011