GEORGE DOMINIC MAMMO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071189

License Status

CANCELLED

Business

Title

First Name

GEORGE

Middle

DOMINIC

Last Name

MAMMO

Business Name

GEORGE DOMINIC MAMMO MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/12/2017