EDUARDO ALEJANDRO BUSTAMANTE JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068554

License Status

EXPIRED

Business

Title

First Name

EDUARDO

Middle

ALEJANDRO

Last Name

BUSTAMANTE

Suffix

Business Name

EDUARDO ALEJANDRO BUSTAMANTE JR MD

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/19/2017