YESENIA BAHENA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063936

License Status

CANCELLED

Business

Title

First Name

YESENIA

Last Name

BAHENA

Business Name

YESENIA BAHENA MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014