DAVID CIVITARESE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077388

License Status

EXPIRED

Business

Title

First Name

DAVID

Last Name

CIVITARESE

Business Name

DAVID CIVITARESE DO

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2025

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

11/03/2025