ANNE DEPASQUALE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151369

License Status

NOT RENEWED

Business

Title

First Name

ANNE

Last Name

DEPASQUALE

Business Name

ANNE DEPASQUALE MD

Original Issue Date

12/16/2019

Effective Date

07/30/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60604

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023