KERRY G DISANTO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025029

License Status

EXPIRED

Business

First Name

KERRY G

Last Name

DISANTO

Suffix

Business Name

KERRY G DISANTO MD

Original Issue Date

05/24/1990

Effective Date

05/24/1990

Expiration Date

06/24/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006