PATRICIA M MENGONI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024527

License Status

EXPIRED

Business

First Name

PATRICIA M

Last Name

MENGONI

Suffix

Business Name

PATRICIA M MENGONI MD

Original Issue Date

08/23/1989

Effective Date

08/23/1989

Expiration Date

08/19/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006