ROBERT L BACALLAO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063837

License Status

NOT RENEWED

Business

First Name

ROBERT L

Last Name

BACALLAO

Suffix

Business Name

ROBERT L BACALLAO MD

Original Issue Date

02/04/1982

Effective Date

02/04/1982

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/09/2009