PATRICK GLISTA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080406

License Status

EXPIRED

Business

Title

First Name

PATRICK

Last Name

GLISTA

Business Name

PATRICK GLISTA MD

Original Issue Date

06/24/2022

Effective Date

06/24/2022

Expiration Date

06/23/2023

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

03/06/2024