JOSELITO E GANNABAN JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014424

License Status

EXPIRED

Business

First Name

JOSELITO

Middle

Last Name

GANNABAN

Suffix

JR MD

Business Name

JOSELITO E GANNABAN JR MD

Original Issue Date

06/25/1982

Effective Date

06/25/1982

Expiration Date

07/01/1984

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006