GUSTAVE HORACIO FALCIGLIA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052835

License Status

CANCELLED

Business

First Name

GUSTAVE

Middle

HORACIO

Last Name

FALCIGLIA

Suffix

Business Name

GUSTAVE HORACIO FALCIGLIA MD

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2010

City

CHICAGO

State

Zip

60614

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/23/2007