GINA MARIE MUSCOLINO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

First Name

GINA MARIE

Last Name

MUSCOLINO

Suffix

Business Name

GINA MARIE MUSCOLINO MD

Original Issue Date

08/05/1996

Effective Date

06/21/2011

Expiration Date

07/31/2014

City

ORLAND PARK

State

Zip

60467

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014