MARCO N KHIELLA MD Surgical Assistant/Technologist License verification

Business Entity

NOT RENEWED

License Type

Surgical Assistant/Technologist

Description

REGISTERED SURGICAL ASSISTANT

License Number

238000614

License Status

NOT RENEWED

Business

Title

First Name

MARCO

Middle

Last Name

KHIELLA

Business Name

MARCO N KHIELLA MD

Original Issue Date

11/09/2018

Effective Date

11/09/2018

Expiration Date

09/30/2020

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021