License holder summary

MARIO G MASSULLO is a Medical Residency Permit licensed to practice in Indiana. The address on file for MARIO G MASSULLO is Bourbonnais IL 60914. This licensed professional license is not current. The license was granted 12/01/1994 and expired on 06/30/1996.

Indiana

Professional Licensing Agency

MARIO G MASSULLO
Medical Residency Permit
License number
11007180A
Date granted
12/01/1994
Date expires
06/30/1996
Class
Medical Residency Permit
Status
Expired
Address
Bourbonnais IL 60914
indianalicensing.org
ID 5969571
LAST UPDATED 2024-04-12 10:10:48 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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