LYDIA R CIARALLO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091999

License Status

INACTIVE

Business

First Name

LYDIA R

Last Name

CIARALLO

Business Name

LYDIA R CIARALLO

Original Issue Date

10/05/1995

Effective Date

10/05/1995

Expiration Date

07/31/1996

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006