GRACE A CAVALLARO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029190

License Status

EXPIRED

Business

First Name

GRACE A

Last Name

CAVALLARO

Business Name

GRACE A CAVALLARO

Original Issue Date

12/21/1992

Effective Date

12/21/1992

Expiration Date

12/31/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006