OCTAVIO A FALCUCCI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029479

License Status

EXPIRED

Business

First Name

OCTAVIO

Middle

Last Name

FALCUCCI

Business Name

OCTAVIO A FALCUCCI

Original Issue Date

05/07/1993

Effective Date

05/07/1993

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006