MICAELA DELLA TORRE Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044617

License Status

CANCELLED

Business

First Name

MICAELA

Last Name

DELLA TORRE

Business Name

MICAELA DELLA TORRE

Original Issue Date

05/21/2002

Effective Date

05/21/2002

Expiration Date

06/23/2005

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006