DARNELLA D GIST Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104623

License Status

NOT RENEWED

Business

First Name

DARNELLA

Middle

Last Name

GIST

Business Name

DARNELLA D GIST

Original Issue Date

05/02/2001

Effective Date

05/02/2001

Expiration Date

07/31/2002

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006