ANNAIS ANTOINETTE SANTIAGO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070355

License Status

CANCELLED

Business

Title

First Name

ANNAIS

Middle

ANTOINETTE

Last Name

SANTIAGO

Business Name

ANNAIS ANTOINETTE SANTIAGO MD

Original Issue Date

06/29/2017

Effective Date

06/29/2017

Expiration Date

06/28/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/16/2017