JUSTIN KIDD GANDIA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106332

License Status

ACTIVE

Business

First Name

JUSTIN

Middle

KIDD

Last Name

GANDIA

Business Name

JUSTIN KIDD GANDIA

Original Issue Date

02/21/2002

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

04/26/2023