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*****88

License Status

NOT RENEWED

Business

Title

First Name

ANTHONY

Middle

Last Name

GHIDORZI

Suffix

Business Name

ANTHONY J GHIDORZI JR DO

Original Issue Date

09/05/1996

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021