ANDREA THERESE DELLARIA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063036

License Status

CANCELLED

Business

Title

First Name

ANDREA

Middle

THERESE

Last Name

DELLARIA

Business Name

ANDREA THERESE DELLARIA MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

City

LAKE BARRINGTON

State

Zip

60010

County

LAKE

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

02/09/2016