RICHARD THOMAS GARGIULO DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061677

License Status

CANCELLED

Business

Title

First Name

RICHARD

Middle

THOMAS

Last Name

GARGIULO

Business Name

RICHARD THOMAS GARGIULO DO

Original Issue Date

06/24/2012

Effective Date

06/24/2012

Expiration Date

06/23/2015

City

CHICAGO

State

Zip

60654

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014