MICHAEL J MUSACCHIO JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044326

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Middle

Last Name

MUSACCHIO

Suffix

Business Name

MICHAEL J MUSACCHIO JR MD

Original Issue Date

05/03/2002

Effective Date

05/03/2002

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006