EFREN SUIZO CABALLES DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001008

License Status

CANCELLED

Business

Title

First Name

EFREN

Middle

SUIZO

Last Name

CABALLES

Business Name

EFREN SUIZO CABALLES DO

Original Issue Date

08/01/2014

Effective Date

08/01/2014

Expiration Date

08/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Sports Medicine (Family Practice)

Ever Disciplined

LastModifiedDate

03/13/2015