CARLOS AUGUSTO LIOTTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051732

License Status

CANCELLED

Business

First Name

CARLOS

Middle

AUGUSTO

Last Name

LIOTTA

Suffix

Business Name

CARLOS AUGUSTO LIOTTA MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006