THOMAS E COLLETTI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019360

License Status

EXPIRED

Business

First Name

THOMAS E

Last Name

COLLETTI

Suffix

Business Name

THOMAS E COLLETTI MD

Original Issue Date

06/12/1986

Effective Date

06/12/1986

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006