MICHAEL VINCENZO PRESTA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049145

License Status

CANCELLED

Business

First Name

MICHAEL

Middle

VINCENZO

Last Name

PRESTA

Suffix

Business Name

MICHAEL VINCENZO PRESTA DO

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006