MARY LEE FUGINA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016447

License Status

EXPIRED

Business

First Name

MARY LEE

Last Name

FUGINA

Suffix

Business Name

MARY LEE FUGINA MD

Original Issue Date

12/09/1983

Effective Date

12/09/1983

Expiration Date

01/01/1986

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006