JULIANNE MUUS MARTINEZ DE UBAGO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061211

License Status

CANCELLED

Business

Title

First Name

JULIANNE

Middle

MUUS

Last Name

MARTINEZ DE UBAGO

Business Name

JULIANNE MUUS MARTINEZ DE UBAGO MD

Original Issue Date

06/23/2012

Effective Date

06/23/2012

Expiration Date

06/22/2015

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

03/24/2014