CHARLES J MARCUCCILLI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035944

License Status

EXPIRED

Business

First Name

CHARLES

Middle

Last Name

MARCUCCILLI

Suffix

Business Name

CHARLES J MARCUCCILLI MD

Original Issue Date

05/12/1997

Effective Date

05/12/1997

Expiration Date

06/23/2000

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006