CARL A BUCCELLATO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032588

License Status

EXPIRED

Business

First Name

CARL A

Last Name

BUCCELLATO

Business Name

CARL A BUCCELLATO

Original Issue Date

05/19/1995

Effective Date

05/19/1995

Expiration Date

06/19/1998

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006