PERCIVAL AZUSANO BIGOL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035470

License Status

EXPIRED

Business

First Name

PERCIVAL

Middle

AZUSANO

Last Name

BIGOL

Suffix

Business Name

PERCIVAL AZUSANO BIGOL MD

Original Issue Date

07/27/1996

Effective Date

07/27/1996

Expiration Date

07/24/1999

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006