GINA MARIE DE GIOVANNI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054400

License Status

CANCELLED

Business

Title

First Name

GINA

Middle

MARIE

Last Name

DE GIOVANNI

Business Name

GINA MARIE DE GIOVANNI MD

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

06/23/2011

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

04/22/2009