ANTHONY J DESANTIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092846

License Status

NOT RENEWED

Business

First Name

ANTHONY J

Last Name

DESANTIS

Suffix

Business Name

ANTHONY J DESANTIS MD

Original Issue Date

05/24/1996

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008