THERESE MARIE LUCIETTO-SIERADZKI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038245

License Status

EXPIRED

Business

Title

First Name

THERESE

Middle

MARIE

Last Name

LUCIETTO-SIERADZKI

Business Name

THERESE MARIE LUCIETTO-SIERADZKI MD

Original Issue Date

06/24/1998

Effective Date

06/24/1998

Expiration Date

06/23/2001

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006