CONCETTA A GARDZIOLA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027359

License Status

EXPIRED

Business

First Name

CONCETTA A

Last Name

GARDZIOLA

Business Name

CONCETTA A GARDZIOLA

Original Issue Date

06/28/1991

Effective Date

06/28/1991

Expiration Date

06/26/1994

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006