LUCIA ELIZABETH BRACCO DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078207

License Status

CANCELLED

Business

Title

First Name

LUCIA

Middle

ELIZABETH

Last Name

BRACCO

Business Name

LUCIA ELIZABETH BRACCO DO

Original Issue Date

06/25/2021

Effective Date

06/25/2021

Expiration Date

06/24/2024

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/04/2021