VINCENT P FORTUNATO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017657

License Status

EXPIRED

Business

First Name

VINCENT P

Last Name

FORTUNATO

Suffix

Business Name

VINCENT P FORTUNATO MD

Original Issue Date

08/10/1984

Effective Date

08/10/1984

Expiration Date

07/01/1986

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006