KENNETH VERCELLI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022350

License Status

EXPIRED

Business

Title

First Name

KENNETH

Last Name

VERCELLI

Business Name

KENNETH VERCELLI MD

Original Issue Date

05/13/1988

Effective Date

05/13/1988

Expiration Date

06/27/1991

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006