ANTHONY J DESANTIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029704

License Status

EXPIRED

Business

First Name

ANTHONY J

Last Name

DESANTIS

Suffix

Business Name

ANTHONY J DESANTIS MD

Original Issue Date

05/18/1993

Effective Date

05/18/1993

Expiration Date

06/21/1996

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006