MARIA VIRNA M EVANGELISTA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096770

License Status

NOT RENEWED

Business

First Name

MARIA VIRNA

Middle

Last Name

EVANGELISTA

Business Name

MARIA VIRNA M EVANGELISTA

Original Issue Date

10/02/1997

Effective Date

10/02/1997

Expiration Date

07/31/1999

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006