MARK D CIPOLLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076933

License Status

NOT RENEWED

Business

First Name

MARK D

Last Name

CIPOLLE

Suffix

Business Name

MARK D CIPOLLE MD

Original Issue Date

04/25/1988

Effective Date

04/25/1988

Expiration Date

07/31/1993

City

WESTCHESTER

State

Zip

60154

County

COOK

Ever Disciplined

LastModifiedDate

07/30/2007