KEVIN ELIEZER DEL MUNDO GALICIA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073976

License Status

CANCELLED

Business

Title

First Name

KEVIN

Middle

ELIEZER DEL MUNDO

Last Name

GALICIA

Business Name

KEVIN ELIEZER DEL MUNDO GALICIA MD

Original Issue Date

06/22/2019

Effective Date

06/22/2019

Expiration Date

06/21/2022

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

06/14/2019