DALE J FEDERICO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

CANCELLED

Business

First Name

DALE J

Last Name

FEDERICO

Suffix

Business Name

DALE J FEDERICO MD

Original Issue Date

06/20/1990

Effective Date

06/20/1990

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006