ANTHONY J DESANTIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

ANTHONY J

Last Name

DESANTIS

Suffix

Business Name

ANTHONY J DESANTIS MD

Original Issue Date

06/28/1996

Effective Date

06/28/1996

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008