GREGORY S PANICCIA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024893

License Status

EXPIRED

Business

First Name

GREGORY

Middle

Last Name

PANICCIA

Business Name

GREGORY S PANICCIA

Original Issue Date

05/22/1990

Effective Date

05/22/1990

Expiration Date

06/30/1993

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006