GINA DIRENZO-COFFEY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034583

License Status

EXPIRED

Business

First Name

GINA

Last Name

DIRENZO-COFFEY

Suffix

Business Name

GINA DIRENZO-COFFEY MD

Original Issue Date

05/21/1996

Effective Date

05/21/1996

Expiration Date

06/16/1999

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006