JESSIE L MABAQUIAO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

First Name

JESSIE L

Last Name

MABAQUIAO

Suffix

Business Name

JESSIE L MABAQUIAO MD

Original Issue Date

09/17/1991

Effective Date

09/17/1991

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020