LEONARD J BUCCELLATO - Medical Doctor License in Illinois | # 036104552

LEONARD J BUCCELLATO

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104552

License Status

INACTIVE

Business

N

First Name

LEONARD

Middle

J

Last Name

BUCCELLATO

Business Name

LEONARD J BUCCELLATO

Original Issue Date

04/19/2001

Effective Date

04/19/2001

Expiration Date

07/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006