MICHAEL ROBERT CONTI MICA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061765

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

ROBERT

Last Name

CONTI MICA

Prefix

Business Name

MICHAEL ROBERT CONTI MICA MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2017

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/19/2017