KEIRA ROSE NASSETTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073794

License Status

CANCELLED

Business

Title

First Name

KEIRA

Middle

ROSE

Last Name

NASSETTA

Business Name

KEIRA ROSE NASSETTA MD

Original Issue Date

06/23/2019

Effective Date

06/23/2019

Expiration Date

06/22/2022

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/08/2019