MARIA LOUISE COLAVINCENZO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047405

License Status

EXPIRED

Business

First Name

MARIA

Middle

LOUISE

Last Name

COLAVINCENZO

Suffix

Business Name

MARIA LOUISE COLAVINCENZO MD

Original Issue Date

06/21/2004

Effective Date

06/21/2004

Expiration Date

06/20/2005

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006