WOODLYNE ROQUIZ DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062301

License Status

EXPIRED

Business

Title

First Name

WOODLYNE

Last Name

ROQUIZ

Business Name

WOODLYNE ROQUIZ DO

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2014

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

03/13/2015