MARIO RICCARDO COLELLA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039948

License Status

EXPIRED

Business

First Name

MARIO

Middle

RICCARDO

Last Name

COLELLA

Suffix

Business Name

MARIO RICCARDO COLELLA DO

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2000

City

SHOREWOOD

State

Zip

53211

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006