ANDRES ELEAZAR GIOVANNETTI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063840

License Status

CANCELLED

Business

First Name

ANDRES

Middle

ELEAZAR

Last Name

GIOVANNETTI

Suffix

Business Name

ANDRES ELEAZAR GIOVANNETTI MD

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2018

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

04/12/2016