KATHERINE BLOSSFIELD IANNITELLI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063311

License Status

CANCELLED

Business

Title

First Name

KATHERINE

Middle

BLOSSFIELD

Last Name

IANNITELLI

Business Name

KATHERINE BLOSSFIELD IANNITELLI MD

BusinessDBA

BLOSSFIELD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2016

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

03/24/2014