MARCO T BOLOGNA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037281

License Status

EXPIRED

Business

First Name

MARCO

Middle

Last Name

BOLOGNA

Business Name

MARCO T BOLOGNA

Original Issue Date

03/03/1998

Effective Date

03/03/1998

Expiration Date

03/02/2003

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006