GINA MARIE MUSCOLINO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093446

License Status

INACTIVE

Business

First Name

GINA MARIE

Last Name

MUSCOLINO

Suffix

Business Name

GINA MARIE MUSCOLINO MD

Original Issue Date

07/10/1996

Effective Date

06/21/2011

Expiration Date

07/31/2014

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014