JEANNE M VALICENTI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023586

License Status

EXPIRED

Business

First Name

JEANNE

Middle

Last Name

VALICENTI

Business Name

JEANNE M VALICENTI

Original Issue Date

05/09/1989

Effective Date

05/09/1989

Expiration Date

07/01/1992

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/22/2006