DAN SOTOLONGO JIMENEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071569

License Status

CANCELLED

Business

Title

First Name

DAN

Last Name

SOTOLONGO JIMENEZ

Business Name

DAN SOTOLONGO JIMENEZ MD

Original Issue Date

08/03/2017

Effective Date

08/03/2017

Expiration Date

08/02/2020

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/04/2017