LUCIA DIANE NOTARDONATO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073569

License Status

CANCELLED

Business

Title

First Name

LUCIA

Middle

DIANE

Last Name

NOTARDONATO

Business Name

LUCIA DIANE NOTARDONATO MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2022

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/24/2019