NICOLA DE MARIA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040501

License Status

CANCELLED

Business

First Name

NICOLA

Last Name

DE MARIA

Suffix

Business Name

NICOLA DE MARIA MD

Original Issue Date

09/15/1999

Effective Date

09/15/1999

Expiration Date

09/14/2002

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006