NATALIE J SGARLATA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060851

License Status

CANCELLED

Business

Title

First Name

NATALIE

Middle

Last Name

SGARLATA

Business Name

NATALIE J SGARLATA MD

Original Issue Date

06/25/2012

Effective Date

06/25/2012

Expiration Date

06/24/2015

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014