MARCO N KHIELLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074419

License Status

CANCELLED

Business

Title

First Name

MARCO

Middle

Last Name

KHIELLA

Business Name

MARCO N KHIELLA MD

Original Issue Date

05/03/2021

Effective Date

05/03/2021

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/27/2021