GUSTAVE HORACIO FALCIGLIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

GUSTAVE

Middle

HORACIO

Last Name

FALCIGLIA

Suffix

Business Name

GUSTAVE HORACIO FALCIGLIA MD

Original Issue Date

04/08/2010

Effective Date

04/08/2010

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60649

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020