NICHOLAS P GUISTO III Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045290

License Status

EXPIRED

Business

First Name

NICHOLAS

Middle

Last Name

GUISTO III

Business Name

NICHOLAS P GUISTO III

Original Issue Date

07/02/2002

Effective Date

07/02/2002

Expiration Date

06/30/2005

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006