MEGAN ANNE CONTI MICA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056311

License Status

CANCELLED

Business

Title

First Name

MEGAN

Middle

ANNE

Last Name

CONTI MICA

Business Name

MEGAN ANNE CONTI MICA MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60614

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

04/29/2009