JORGE DIEGO YAHUACA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077803

License Status

CANCELLED

Business

Title

First Name

JORGE

Middle

DIEGO

Last Name

YAHUACA

Business Name

JORGE DIEGO YAHUACA MD

Original Issue Date

06/23/2021

Effective Date

06/23/2021

Expiration Date

06/22/2024

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/07/2021