MARY F VISTICA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021798

License Status

EXPIRED

Business

First Name

MARY

Middle

Last Name

VISTICA

Business Name

MARY F VISTICA

Original Issue Date

01/13/1988

Effective Date

01/13/1988

Expiration Date

01/26/1991

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006