JOSE LUIS MENDOZA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069960

License Status

EXPIRED

Business

Title

First Name

JOSE

Middle

LUIS

Last Name

MENDOZA

Business Name

JOSE LUIS MENDOZA MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/19/2020