MICHAEL DOMINICK DIODATO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057245

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

DOMINICK

Last Name

DIODATO

Business Name

MICHAEL DOMINICK DIODATO MD

Original Issue Date

07/16/2009

Effective Date

07/16/2009

Expiration Date

07/15/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Thoracic Surgery

Ever Disciplined

LastModifiedDate

07/16/2009