RALPH PHILLIP DILISIO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055255

License Status

EXPIRED

Business

Title

First Name

RALPH

Middle

PHILLIP

Last Name

DILISIO

Business Name

RALPH PHILLIP DILISIO MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

07/15/2009