SEAN LOUIS DEANGELO DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079095

License Status

CANCELLED

Business

Title

First Name

SEAN

Middle

LOUIS

Last Name

DEANGELO

Business Name

SEAN LOUIS DEANGELO DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/24/2021