JEFF ANTHONY D'AMICO DO - Medical Doctor License in Illinois | # 125048983

JEFF ANTHONY D'AMICO DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048983

License Status

EXPIRED

Business

N

First Name

JEFF

Middle

ANTHONY

Last Name

D'AMICO

Suffix

DO

Business Name

JEFF ANTHONY D'AMICO DO

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2008

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

06/26/2008