CREA LYNN FUSCO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047476

License Status

CANCELLED

Business

First Name

CREA

Middle

LYNN

Last Name

FUSCO

Suffix

Business Name

CREA LYNN FUSCO MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006