JASON BALQUIEDRA LAMANO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079316

License Status

CANCELLED

Business

Title

First Name

JASON

Middle

BALQUIEDRA

Last Name

LAMANO

Business Name

JASON BALQUIEDRA LAMANO MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

12/24/2024