TIANNA KANELLITSAS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035159

License Status

EXPIRED

Business

First Name

TIANNA

Last Name

KANELLITSAS

Business Name

TIANNA KANELLITSAS

Original Issue Date

06/19/1996

Effective Date

06/19/1996

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006