HUMBERTO SIFUENTES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000967

License Status

NOT RENEWED

Business

First Name

HUMBERTO

Last Name

SIFUENTES

Suffix

Business Name

HUMBERTO SIFUENTES MD

Original Issue Date

01/02/2015

Effective Date

01/02/2015

Expiration Date

02/01/2015

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Gastroenterology

Ever Disciplined

LastModifiedDate

05/18/2015