MAXIMO JAMES MARIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062992

License Status

CANCELLED

Business

Title

First Name

MAXIMO

Middle

JAMES

Last Name

MARIN

Business Name

MAXIMO JAMES MARIN MD

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2017

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

01/28/2016