JOHN J BUCCELLATO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020072

License Status

EXPIRED

Business

First Name

JOHN

Middle

Last Name

BUCCELLATO

Business Name

JOHN J BUCCELLATO

Original Issue Date

07/10/1986

Effective Date

07/10/1986

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006