MARK J MINAUDO DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000878

License Status

EXPIRED

Business

Title

First Name

MARK

Middle

Last Name

MINAUDO

Business Name

MARK J MINAUDO DO

Original Issue Date

09/01/2011

Effective Date

09/01/2011

Expiration Date

09/30/2011

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Gastroenterology

Ever Disciplined

LastModifiedDate

11/17/2011