ADAM COLLINS DELCONTE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069044

License Status

CANCELLED

Business

Title

First Name

ADAM

Middle

COLLINS

Last Name

DELCONTE

Business Name

ADAM COLLINS DELCONTE MD

Original Issue Date

06/23/2016

Effective Date

06/23/2016

Expiration Date

06/22/2019

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/02/2016