RAISA GABRIELA ALVAREZ VARGAS Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070570

License Status

CANCELLED

Business

First Name

RAISA

Middle

GABRIELA

Last Name

ALVAREZ VARGAS

Business Name

RAISA GABRIELA ALVAREZ VARGAS

Original Issue Date

06/26/2017

Effective Date

06/26/2017

Expiration Date

06/25/2020

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/26/2020