AMANDA VELAZQUEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001043

License Status

NOT RENEWED

Business

Title

First Name

AMANDA

Last Name

VELAZQUEZ

Business Name

AMANDA VELAZQUEZ MD

Original Issue Date

04/08/2015

Effective Date

04/08/2015

Expiration Date

06/07/2015

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

01/07/2016