DALE J FEDERICO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079782

License Status

INACTIVE

Business

First Name

DALE J

Last Name

FEDERICO

Suffix

Business Name

DALE J FEDERICO MD

Original Issue Date

03/20/1990

Effective Date

03/20/1990

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006