LEONARD J BUCCELLATO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104552

License Status

INACTIVE

Business

First Name

LEONARD

Middle

Last Name

BUCCELLATO

Business Name

LEONARD J BUCCELLATO

Original Issue Date

04/19/2001

Effective Date

04/19/2001

Expiration Date

07/31/2005

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006