JAMIE STEVEN COLONNELLO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039870

License Status

EXPIRED

Business

First Name

JAMIE

Middle

STEVEN

Last Name

COLONNELLO

Suffix

Business Name

JAMIE STEVEN COLONNELLO MD

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2002

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006