FABIOLA D D'AMBROSIO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143085

License Status

NOT RENEWED

Business

Title

First Name

FABIOLA

Middle

Last Name

D'AMBROSIO

Business Name

FABIOLA D D'AMBROSIO MD

Original Issue Date

04/26/2017

Effective Date

06/30/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023