JONATHAN ANICIETE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085802

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Last Name

ANICIETE

Business Name

JONATHAN ANICIETE DO

Original Issue Date

06/22/2025

Effective Date

06/22/2025

Expiration Date

06/21/2028

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/06/2025