AMANDA REBECA MUNOZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064991

License Status

CANCELLED

Business

Title

First Name

AMANDA

Middle

REBECA

Last Name

MUNOZ

Business Name

AMANDA REBECA MUNOZ MD

Original Issue Date

06/25/2014

Effective Date

06/25/2014

Expiration Date

06/24/2017

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

06/04/2014