ERIN ANDREA CONSUELO MORALES UBICO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065971

License Status

CANCELLED

Business

Title

First Name

ERIN

Middle

ANDREA CONSUELO

Last Name

MORALES UBICO

Business Name

ERIN ANDREA CONSUELO MORALES UBICO MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/22/2014