ANDREA S GRANZOTTI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023505

License Status

EXPIRED

Business

First Name

ANDREA S

Last Name

GRANZOTTI

Suffix

Business Name

ANDREA S GRANZOTTI MD

Original Issue Date

05/03/1989

Effective Date

05/03/1989

Expiration Date

06/19/1993

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006