MICHAEL JOHN MONTESANO DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074927

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

JOHN

Last Name

MONTESANO

Business Name

MICHAEL JOHN MONTESANO DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/13/2019