ANTHONY JOSEPH BARRACO MD - Medical Doctor License in Illinois | # 125064362

ANTHONY JOSEPH BARRACO MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064362

License Status

EXPIRED

Business

N

Title

MD

First Name

ANTHONY

Middle

JOSEPH

Last Name

BARRACO

Business Name

ANTHONY JOSEPH BARRACO MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/19/2017