CHRISTINA SUSI DEANGELIS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122452

License Status

NOT RENEWED

Business

First Name

CHRISTINA

Middle

SUSI

Last Name

DEANGELIS

Suffix

Business Name

CHRISTINA SUSI DEANGELIS DO

Original Issue Date

01/14/2009

Effective Date

01/14/2009

Expiration Date

07/31/2011

City

PIKESVILLE

State

Zip

21208

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011