ELLEN M COCCITTI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000284

License Status

EXPIRED

Business

First Name

ELLEN

Middle

Last Name

COCCITTI

Business Name

ELLEN M COCCITTI

Original Issue Date

08/08/1995

Effective Date

08/08/1995

Expiration Date

11/30/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/25/2006