AMBROSE FRANCIS PANICO DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060115

License Status

CANCELLED

Business

Title

First Name

AMBROSE

Middle

FRANCIS

Last Name

PANICO

Business Name

AMBROSE FRANCIS PANICO DO

Original Issue Date

06/22/2011

Effective Date

06/22/2011

Expiration Date

06/21/2014

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014