KIM M CARNAZZOLA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024992

License Status

EXPIRED

Business

First Name

KIM M

Last Name

CARNAZZOLA

Suffix

Business Name

KIM M CARNAZZOLA MD

Original Issue Date

05/22/1990

Effective Date

05/22/1990

Expiration Date

06/24/1993

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006