ANDRES GUSTAVO MADRIGAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064545

License Status

EXPIRED

Business

Title

First Name

ANDRES

Middle

GUSTAVO

Last Name

MADRIGAL

Business Name

ANDRES GUSTAVO MADRIGAL MD

Original Issue Date

06/23/2017

Effective Date

06/23/2017

Expiration Date

06/22/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

10/25/2018