License Directory

Lee Michael Periolat Md

Expired

Illinois license 036046764

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036046764
Status
Expired (Not Renewed)
First issued
January 23, 1973
Expired
July 31, 1990
License holder
Lee Michael Periolat Md
Entity type
Individual

Classifications

More from the license record

Current term began
01/23/1973

Contact

Valparaiso, IN 46383
Indiana County