MARIA F GIOSA BEVILACQUA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064721

License Status

EXPIRED

Business

Title

First Name

MARIA

Middle

F GIOSA

Last Name

BEVILACQUA

Business Name

MARIA F GIOSA BEVILACQUA MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/19/2017