MICHAELA RAE VIGILANTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061714

License Status

NOT RENEWED

Business

Title

First Name

MICHAELA

Middle

RAE

Last Name

VIGILANTE

Business Name

MICHAELA RAE VIGILANTE MD

Original Issue Date

06/22/2015

Effective Date

06/22/2015

Expiration Date

08/21/2015

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

01/07/2016