DARRYL J GIAMBALVO DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076344

License Status

CANCELLED

Business

Title

First Name

DARRYL

Middle

Last Name

GIAMBALVO

Prefix

Business Name

DARRYL J GIAMBALVO DO

Original Issue Date

06/22/2020

Effective Date

06/22/2020

Expiration Date

06/21/2023

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/28/2020