SERENA M BAGNASCO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021553

License Status

EXPIRED

Business

First Name

SERENA M

Last Name

BAGNASCO

Suffix

Business Name

SERENA M BAGNASCO MD

Original Issue Date

07/07/1987

Effective Date

07/07/1987

Expiration Date

06/23/1990

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006