JON MIKEL AZKUE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062484

License Status

CANCELLED

Business

Title

First Name

JON

Middle

MIKEL

Last Name

AZKUE

Business Name

JON MIKEL AZKUE MD

Original Issue Date

08/17/2012

Effective Date

08/17/2012

Expiration Date

08/16/2015

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/09/2015