JENNIFER MASCARINAS ESTANILLA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071147

License Status

CANCELLED

Business

Title

First Name

JENNIFER

Middle

MASCARINAS

Last Name

ESTANILLA

Business Name

JENNIFER MASCARINAS ESTANILLA DO

Original Issue Date

06/22/2017

Effective Date

06/22/2017

Expiration Date

06/21/2020

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/11/2017