SAMANTHA LYNN GITELIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063056

License Status

CANCELLED

Business

Title

First Name

SAMANTHA

Middle

LYNN

Last Name

GITELIS

Business Name

SAMANTHA LYNN GITELIS MD

Original Issue Date

08/01/2017

Effective Date

08/01/2017

Expiration Date

07/31/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatric Anesthesiology

Ever Disciplined

LastModifiedDate

03/07/2017