JACQUELINE M AMATO - Medical Doctor License in Illinois | # 125031443

JACQUELINE M AMATO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031443

License Status

EXPIRED

Business

N

First Name

JACQUELINE M

Last Name

AMATO

Business Name

JACQUELINE M AMATO

Original Issue Date

05/24/1994

Effective Date

05/24/1994

Expiration Date

06/30/1997

State

IL

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006