DANIEL ALBERTO NOVELLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057076

License Status

CANCELLED

Business

Title

First Name

DANIEL

Middle

ALBERTO

Last Name

NOVELLA

Business Name

DANIEL ALBERTO NOVELLA MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60632

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/29/2009