GERALD J MINGOLELLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

GERALD J

Last Name

MINGOLELLI

Suffix

Business Name

GERALD J MINGOLELLI MD

Original Issue Date

10/20/1992

Effective Date

07/30/2014

Expiration Date

07/31/2017

City

OAK FOREST

State

Zip

60452

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017