MILA C R BACALLA MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042004564

License Status

NOT RENEWED

Business

Business Name

MILA C R BACALLA MD SC

Original Issue Date

05/04/1981

Effective Date

12/22/2021

Expiration Date

01/01/2025

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Ever Disciplined

LastModifiedDate

04/03/2025