CARLOS HUMBERTO MAZARIEGOS LETRAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077178

License Status

EXPIRED

Business

Title

First Name

CARLOS

Middle

HUMBERTO

Last Name

MAZARIEGOS LETRAN

Business Name

CARLOS HUMBERTO MAZARIEGOS LETRAN MD

Original Issue Date

06/25/2020

Effective Date

06/25/2020

Expiration Date

06/24/2023

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/06/2024