COLLEEN HELEN RUSCIOLELLI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055052

License Status

CANCELLED

Business

First Name

COLLEEN

Middle

HELEN

Last Name

RUSCIOLELLI

Suffix

Business Name

COLLEEN HELEN RUSCIOLELLI MD

Original Issue Date

06/24/2008

Effective Date

06/24/2008

Expiration Date

06/23/2011

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/14/2008