Illinois
Winnebago
Rockford
Surgery: General
canceled
A69616
male
1992
medical activities:
no activities identified
license issued on August 27, 1999;
Surgeon (General)
Specialist for: Vascular Surgery & General Surgery
University of Texas Medical School At San Antonio (graduated in 1992)
Graduated in year 1992, Medical School: University of Tx Medicine School At San Antonio, San Antonio, TX 78284
Osf Saint Anthony Medical Center
Rockford Memorial Hospital
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Profile ID: FRUS-MDS-P-179044