JACQUELIN RATUNIL CHUA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061123

License Status

CANCELLED

Business

Title

First Name

JACQUELIN

Middle

RATUNIL

Last Name

CHUA

Business Name

JACQUELIN RATUNIL CHUA MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/26/2015