GAIL M SANTUCCI Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042603

License Status

CANCELLED

Business

First Name

GAIL

Middle

Last Name

SANTUCCI

Business Name

GAIL M SANTUCCI

Original Issue Date

06/24/2001

Effective Date

06/24/2001

Expiration Date

06/23/2004

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

07/12/2007