IGNACIO JUAN KELLER SARMIENTO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081078

License Status

CANCELLED

Business

Title

First Name

IGNACIO

Middle

JUAN

Last Name

KELLER SARMIENTO

Business Name

IGNACIO JUAN KELLER SARMIENTO MD

Original Issue Date

07/26/2022

Effective Date

07/26/2022

Expiration Date

07/25/2024

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neurology Movement Disorder

Ever Disciplined

LastModifiedDate

07/26/2022