MAURICIO STANZIONE GALIZIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057332

License Status

NOT RENEWED

Business

Title

First Name

MAURICIO

Middle

STANZIONE

Last Name

GALIZIA

Business Name

MAURICIO STANZIONE GALIZIA MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Musculoskeletal Radiology

Ever Disciplined

LastModifiedDate

06/15/2012