GARY M ANNUNZIATA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023648

License Status

EXPIRED

Business

First Name

GARY

Middle

Last Name

ANNUNZIATA

Suffix

Business Name

GARY M ANNUNZIATA DO

Original Issue Date

05/09/1989

Effective Date

05/09/1989

Expiration Date

07/01/1992

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006