MICHAEL S VERCILLO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052921

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

Last Name

VERCILLO

Suffix

Business Name

MICHAEL S VERCILLO MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

08/29/2012