ROBERT L BACALLAO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125011134

License Status

EXPIRED

Business

First Name

ROBERT L

Last Name

BACALLAO

Suffix

Business Name

ROBERT L BACALLAO MD

Original Issue Date

01/01/1998

Effective Date

01/01/1998

Expiration Date

06/23/1982

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/09/2009