MARCO FRANK DELLARIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

MARCO

Middle

FRANK

Last Name

DELLARIA

Suffix

Business Name

MARCO FRANK DELLARIA MD

Original Issue Date

11/30/1998

Effective Date

11/30/1998

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011