GABINO MANUEL MARIANO MAZA RODAS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072445

License Status

EXPIRED

Business

Title

First Name

GABINO

Middle

MANUEL MARIANO

Last Name

MAZA RODAS

Business Name

GABINO MANUEL MARIANO MAZA RODAS MD

Original Issue Date

06/25/2018

Effective Date

06/25/2018

Expiration Date

06/24/2021

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/11/2022