MARCELO E FACCIUTO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033536

License Status

EXPIRED

Business

First Name

MARCELO

Middle

Last Name

FACCIUTO

Business Name

MARCELO E FACCIUTO

Original Issue Date

06/24/1995

Effective Date

06/24/1995

Expiration Date

08/21/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Transplantation Surgery

Ever Disciplined

LastModifiedDate

09/22/2006