MARCO RICCARDO FOSSATI BELLANI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059154

License Status

CANCELLED

Business

Title

First Name

MARCO

Middle

RICCARDO

Last Name

FOSSATI BELLANI

Business Name

MARCO RICCARDO FOSSATI BELLANI MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

04/03/2012