GLENN MICHAEL DEANGELIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070820

License Status

EXPIRED

Business

Title

First Name

GLENN

Middle

MICHAEL

Last Name

DEANGELIS

Business Name

GLENN MICHAEL DEANGELIS MD

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2020

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

11/19/2020