KATHERINE BLOSSFIELD IANNITELLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118438

License Status

NOT RENEWED

Business

Title

First Name

KATHERINE

Middle

BLOSSFIELD

Last Name

IANNITELLI

Business Name

KATHERINE BLOSSFIELD IANNITELLI MD

BusinessDBA

BLOSSFIELD

Original Issue Date

05/18/2007

Effective Date

08/03/2020

Expiration Date

07/31/2023

City

OAK PARK

State

Zip

60303

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023