GIGI IP Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036015

License Status

CANCELLED

Business

First Name

GIGI

Last Name

Business Name

GIGI IP

Original Issue Date

05/14/1997

Effective Date

05/14/1997

Expiration Date

06/21/2000

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006