ANTONIO GANGEMI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053576

License Status

CANCELLED

Business

First Name

ANTONIO

Last Name

GANGEMI

Suffix

Business Name

ANTONIO GANGEMI MD

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

06/23/2010

City

RIVERSIDE

State

Zip

60546

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

05/04/2009