JUAN MANUEL RAMIREZ DECRESCENZO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073119

License Status

EXPIRED

Business

Title

First Name

JUAN

Middle

MANUEL

Last Name

RAMIREZ DECRESCENZO

Business Name

JUAN MANUEL RAMIREZ DECRESCENZO MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/02/2019