DAVID THOMAS GIANGRECO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056129

License Status

CANCELLED

Business

Title

First Name

DAVID

Middle

THOMAS

Last Name

GIANGRECO

Business Name

DAVID THOMAS GIANGRECO MD

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

06/21/2012

City

GENEVA

State

Zip

60134

County

KANE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/24/2009