J DAVID ROCCAFORTE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033260

License Status

EXPIRED

Business

First Name

J DAVID

Last Name

ROCCAFORTE

Business Name

J DAVID ROCCAFORTE

Original Issue Date

06/10/1995

Effective Date

06/10/1995

Expiration Date

06/20/1996

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006