ROCKY EVAN BACELIERI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047349

License Status

EXPIRED

Business

First Name

ROCKY

Middle

EVAN

Last Name

BACELIERI

Suffix

Business Name

ROCKY EVAN BACELIERI MD

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2008

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

06/26/2008