VALERIE VISITACION MAYUGA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065908

License Status

CANCELLED

Business

Title

First Name

VALERIE

Middle

VISITACION

Last Name

MAYUGA

Business Name

VALERIE VISITACION MAYUGA MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/09/2014