JEFFREY ROBERT DESANTO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046527

License Status

EXPIRED

Business

First Name

JEFFREY

Middle

ROBERT

Last Name

DESANTO

Suffix

Business Name

JEFFREY ROBERT DESANTO MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60610

County

PEORIA

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

07/31/2008