MICHELE A BUCCIERO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044602

License Status

EXPIRED

Business

First Name

MICHELE

Middle

Last Name

BUCCIERO

Business Name

MICHELE A BUCCIERO

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2005

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006