DONALD J ANCIAUX DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001312

License Status

EXPIRED

Business

Title

First Name

DONALD

Middle

Last Name

ANCIAUX

Business Name

DONALD J ANCIAUX DO

Original Issue Date

08/26/2019

Effective Date

08/26/2019

Expiration Date

02/25/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

11/19/2020