ANTHONY A CASTELLI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067306

License Status

CANCELLED

Business

First Name

ANTHONY

Middle

Last Name

CASTELLI

Suffix

Business Name

ANTHONY A CASTELLI MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

06/15/2017