MORENA LETICIA VALDIZON DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078643

License Status

CANCELLED

Business

Title

First Name

MORENA

Middle

LETICIA

Last Name

VALDIZON

Business Name

MORENA LETICIA VALDIZON DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/24/2021