SULLY CARDONA MD - Medical Doctor License in Illinois | # 125062062

SULLY CARDONA MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062062

License Status

CANCELLED

Business

N

Title

MD

First Name

SULLY

Last Name

CARDONA

Business Name

SULLY CARDONA MD

Original Issue Date

06/23/2012

Effective Date

06/23/2012

Expiration Date

06/22/2015

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

03/24/2014