JOAO VICENTE BUSNELLO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055621

License Status

CANCELLED

Business

Title

First Name

JOAO

Middle

VICENTE

Last Name

BUSNELLO

Business Name

JOAO VICENTE BUSNELLO MD

Original Issue Date

06/24/2012

Effective Date

06/24/2012

Expiration Date

06/23/2013

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

05/02/2012