JOHN J BUCCELLATO - Medical Doctor License in Illinois | # 125020072

JOHN J BUCCELLATO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020072

License Status

EXPIRED

Business

N

First Name

JOHN

Middle

J

Last Name

BUCCELLATO

Business Name

JOHN J BUCCELLATO

Original Issue Date

07/10/1986

Effective Date

07/10/1986

Expiration Date

07/01/1989

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006