MARIA JOSE AGUILERA CHUCHUCA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079901

License Status

CANCELLED

Business

Title

First Name

MARIA

Middle

JOSE

Last Name

AGUILERA CHUCHUCA

Business Name

MARIA JOSE AGUILERA CHUCHUCA MD

Original Issue Date

06/22/2022

Effective Date

06/22/2022

Expiration Date

06/21/2025

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/13/2022