AMBROSE FRANCIS PANICO DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135218

License Status

NOT RENEWED

Business

Title

First Name

AMBROSE

Middle

FRANCIS

Last Name

PANICO

Business Name

AMBROSE FRANCIS PANICO DO

Original Issue Date

05/01/2014

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021