OLIVIA VASSILIKI CANGELLARIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077893

License Status

CANCELLED

Business

Title

First Name

OLIVIA

Middle

VASSILIKI

Last Name

CANGELLARIS

Business Name

OLIVIA VASSILIKI CANGELLARIS MD

Original Issue Date

06/24/2021

Effective Date

06/24/2021

Expiration Date

06/23/2024

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/23/2021