JACOB ALEXANDER GIANUZZI DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079047

License Status

CANCELLED

Business

Title

First Name

JACOB

Middle

ALEXANDER

Last Name

GIANUZZI

Business Name

JACOB ALEXANDER GIANUZZI DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

OLYMPIA FIELDS

State

Zip

60461

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

06/09/2021