FABIOLA D D'AMBROSIO MD - Medical Doctor License in Illinois | # 125065855

FABIOLA D D'AMBROSIO MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065855

License Status

CANCELLED

Business

N

Title

MD

First Name

FABIOLA

Middle

D

Last Name

D'AMBROSIO

Business Name

FABIOLA D D'AMBROSIO MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

06/23/2014