DAVID A COLOSIMO - Medical Doctor License in Illinois | # 125018454

DAVID A COLOSIMO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018454

License Status

EXPIRED

Business

N

First Name

DAVID

Middle

A

Last Name

COLOSIMO

Business Name

DAVID A COLOSIMO

Original Issue Date

06/13/1985

Effective Date

06/13/1985

Expiration Date

07/01/1988

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

09/22/2006