ANTHONY P CIPOLLA MD - Medical Doctor License in Illinois | # 125063628

ANTHONY P CIPOLLA MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063628

License Status

CANCELLED

Business

N

Title

MD

First Name

ANTHONY

Middle

P

Last Name

CIPOLLA

Business Name

ANTHONY P CIPOLLA MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2016

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

03/24/2014