ANTHONY J GHIDORZI JR DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

Title

First Name

ANTHONY

Middle

Last Name

GHIDORZI

Suffix

Business Name

ANTHONY J GHIDORZI JR DO

Original Issue Date

04/12/2007

Effective Date

06/05/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60666

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020