ANTHONY P CIPOLLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063628

License Status

CANCELLED

Business

Title

First Name

ANTHONY

Middle

Last Name

CIPOLLA

Business Name

ANTHONY P CIPOLLA MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2016

City

DEERFIELD

State

Zip

60015

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014