PHILLIP PASQUALE SANTOIEMMA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067163

License Status

CANCELLED

Business

Title

First Name

PHILLIP

Middle

PASQUALE

Last Name

SANTOIEMMA

Business Name

PHILLIP PASQUALE SANTOIEMMA MD

Original Issue Date

06/22/2015

Effective Date

06/22/2015

Expiration Date

06/21/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/02/2015