MARK A MUSCATO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041215

License Status

EXPIRED

Business

First Name

MARK

Middle

Last Name

MUSCATO

Suffix

Business Name

MARK A MUSCATO MD

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2004

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006