CHAD ANTHONY VACCARELLI DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001090

License Status

EXPIRED

Business

Title

First Name

CHAD

Middle

ANTHONY

Last Name

VACCARELLI

Business Name

CHAD ANTHONY VACCARELLI DO

Original Issue Date

04/02/2016

Effective Date

04/02/2016

Expiration Date

05/01/2016

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Sports Medicine (Family Practice)

Ever Disciplined

LastModifiedDate

08/16/2016