ANDRES ALFONSO MALDONADO MORILLO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064739

License Status

EXPIRED

Business

Title

First Name

ANDRES

Middle

ALFONSO

Last Name

MALDONADO MORILLO

Business Name

ANDRES ALFONSO MALDONADO MORILLO MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Reconstructive Microsurgery/Plastics

Ever Disciplined

LastModifiedDate

09/04/2015