MICHAEL ALBERT GISONDI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

ALBERT

Last Name

GISONDI

Suffix

Business Name

MICHAEL ALBERT GISONDI MD

Original Issue Date

08/07/2003

Effective Date

05/28/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017