DEBRA LYNNE CIASULLI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053582

License Status

CANCELLED

Business

Title

First Name

DEBRA

Middle

LYNNE

Last Name

CIASULLI

Business Name

DEBRA LYNNE CIASULLI MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine/Psychiatry

Ever Disciplined

LastModifiedDate

05/05/2010