GINA MARIE PISCITELLO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066230

License Status

CANCELLED

Business

Title

First Name

GINA

Middle

MARIE

Last Name

PISCITELLO

Business Name

GINA MARIE PISCITELLO MD

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2018

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/27/2015