RAUL IVAN MEDINA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064345

License Status

EXPIRED

Business

First Name

RAUL

Middle

IVAN

Last Name

MEDINA

Suffix

Business Name

RAUL IVAN MEDINA MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/19/2017