MARC CONTE RUSSIAN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058327

License Status

CANCELLED

Business

Title

First Name

MARC

Last Name

CONTE RUSSIAN

Business Name

MARC CONTE RUSSIAN DO

Original Issue Date

06/21/2010

Effective Date

06/21/2010

Expiration Date

06/20/2013

City

WHEATON

State

Zip

60187

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/27/2010