EMMANUEL DE JESUS GAETA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084601

License Status

ACTIVE

Business

First Name

EMMANUEL

Middle

DE JESUS

Last Name

GAETA

Business Name

EMMANUEL DE JESUS GAETA

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

05/04/2024