JOHN A MASSIMILIAN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020782

License Status

EXPIRED

Business

First Name

JOHN A

Last Name

MASSIMILIAN

Suffix

Business Name

JOHN A MASSIMILIAN DO

Original Issue Date

05/12/1987

Effective Date

05/12/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006