GINA NICOLE GUGLIELMI DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071056

License Status

CANCELLED

Business

Title

First Name

GINA

Middle

NICOLE

Last Name

GUGLIELMI

Business Name

GINA NICOLE GUGLIELMI DO

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

05/18/2017