ROSELLE DECARLO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020204

License Status

CANCELLED

Business

First Name

ROSELLE

Last Name

DECARLO

Suffix

Business Name

ROSELLE DECARLO MD

Original Issue Date

08/05/1986

Effective Date

08/05/1986

Expiration Date

07/01/1990

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006