GABRIEL ANZUETO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065955

License Status

CANCELLED

Business

First Name

GABRIEL

Last Name

ANZUETO

Suffix

Business Name

GABRIEL ANZUETO MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/19/2014