ANDREA SCIAMMARELLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122090

License Status

NOT RENEWED

Business

First Name

ANDREA

Last Name

SCIAMMARELLA

Suffix

Business Name

ANDREA SCIAMMARELLA MD

Original Issue Date

10/21/2008

Effective Date

10/21/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011