BELLA T PROSPERO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058672

License Status

NOT RENEWED

Business

First Name

BELLA T

Last Name

PROSPERO

Suffix

Business Name

BELLA T PROSPERO MD

Original Issue Date

05/17/1979

Effective Date

04/25/2014

Expiration Date

07/31/2017

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017