GABRIEL GINO MENNA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080723

License Status

EXPIRED

Business

Title

First Name

GABRIEL

Middle

GINO

Last Name

MENNA

Business Name

GABRIEL GINO MENNA MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/03/2025