ANTHONY R SCAVONE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064476

License Status

CANCELLED

Business

Title

First Name

ANTHONY

Middle

Last Name

SCAVONE

Business Name

ANTHONY R SCAVONE DO

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2017

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/12/2014