PETER VASCONCELLOS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036327

License Status

CANCELLED

Business

First Name

PETER

Last Name

VASCONCELLOS

Suffix

Business Name

PETER VASCONCELLOS DO

Original Issue Date

05/27/1997

Effective Date

05/27/1997

Expiration Date

06/30/2000

City

HINSDALE

State

Zip

60521

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006