GINA DIRENZO-COFFEY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

CANCELLED

Business

First Name

GINA

Last Name

DIRENZO-COFFEY

Suffix

Business Name

GINA DIRENZO-COFFEY MD

Original Issue Date

07/16/1998

Effective Date

07/16/1998

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/09/2006