JOSEPH BRIAN GASTALA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061502

License Status

EXPIRED

Business

Title

First Name

JOSEPH

Middle

BRIAN

Last Name

GASTALA

Business Name

JOSEPH BRIAN GASTALA MD

Original Issue Date

06/22/2012

Effective Date

06/22/2012

Expiration Date

06/21/2013

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/07/2013