SAMUEL DANTE DELISI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041409

License Status

NOT RENEWED

Business

First Name

SAMUEL DANTE

Last Name

DELISI

Suffix

Business Name

SAMUEL DANTE DELISI MD

Original Issue Date

11/02/1967

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021