ANGELO FRANK GUASTELLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077649

License Status

ACTIVE

Business

Title

First Name

ANGELO

Middle

FRANK

Last Name

GUASTELLA

Business Name

ANGELO FRANK GUASTELLA MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2026

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/17/2023