JOHN NICHOLAS GAETANO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057722

License Status

CANCELLED

Business

Title

First Name

JOHN

Middle

NICHOLAS

Last Name

GAETANO

Business Name

JOHN NICHOLAS GAETANO MD

Original Issue Date

06/24/2010

Effective Date

06/24/2010

Expiration Date

06/23/2013

City

GRAYSLAKE

State

Zip

60030

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/12/2010