LAURA ROSE PICCININ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000446

License Status

EXPIRED

Business

First Name

LAURA

Middle

ROSE

Last Name

PICCININ

Business Name

LAURA ROSE PICCININ

Original Issue Date

03/19/1999

Effective Date

03/19/1999

Expiration Date

04/18/1999

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

06/20/2007