MATTHEW V PISANO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040002

License Status

EXPIRED

Business

First Name

MATTHEW

Middle

Last Name

PISANO

Business Name

MATTHEW V PISANO

Original Issue Date

06/28/1999

Effective Date

06/28/1999

Expiration Date

06/27/2002

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006