MARY ALEXANDRA EGUIA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067732

License Status

EXPIRED

Business

Title

First Name

MARY

Middle

ALEXANDRA

Last Name

EGUIA

Business Name

MARY ALEXANDRA EGUIA MD

Original Issue Date

06/23/2015

Effective Date

06/23/2015

Expiration Date

06/22/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/25/2018