RALPH VINCENT FIORE II Physician Assistant License verification

Business Entity

CANCELLED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****37

License Status

CANCELLED

Business

First Name

RALPH

Middle

VINCENT

Last Name

FIORE

Suffix

Business Name

RALPH VINCENT FIORE II

Original Issue Date

10/30/2002

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

11/20/2017