MARELLE MONTANEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001282

License Status

EXPIRED

Business

Title

First Name

MARELLE

Last Name

MONTANEZ

Business Name

MARELLE MONTANEZ MD

Original Issue Date

05/06/2019

Effective Date

05/06/2019

Expiration Date

06/05/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Geriatric Medicine

Ever Disciplined

LastModifiedDate

10/02/2019