PATRICE S GILLOTTI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

PATRICE S

Last Name

GILLOTTI

Business Name

PATRICE S GILLOTTI

Original Issue Date

12/29/1982

Effective Date

12/29/1982

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006