AMANDA MARIE FICACELLI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052621

License Status

EXPIRED

Business

Title

First Name

AMANDA

Middle

MARIE

Last Name

FICACELLI

Business Name

AMANDA MARIE FICACELLI MD

Original Issue Date

06/18/2007

Effective Date

06/18/2007

Expiration Date

06/17/2010

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

06/24/2010