MARC J FALLERONI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026304

License Status

EXPIRED

Business

First Name

MARC J

Last Name

FALLERONI

Business Name

MARC J FALLERONI

Original Issue Date

04/30/1991

Effective Date

04/30/1991

Expiration Date

06/22/1996

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006