MICHAEL THOMAS ANDREOLI MD - Medical Doctor License in Illinois | # 125061343

MICHAEL THOMAS ANDREOLI MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061343

License Status

CANCELLED

Business

N

Title

MD

First Name

MICHAEL

Middle

THOMAS

Last Name

ANDREOLI

Business Name

MICHAEL THOMAS ANDREOLI MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

State

IL

Specialty/Qualifier

Ophthalmology

Ever Disciplined

N

LastModifiedDate

03/24/2014