PHILLIP L CACIOPPO MD SC - Medical Corporation License in Illinois | # 042006111

PHILLIP L CACIOPPO MD SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042006111

License Status

NOT RENEWED

Business

Y

Business Name

PHILLIP L CACIOPPO MD SC

Original Issue Date

01/06/1987

Effective Date

12/24/2021

Expiration Date

01/01/2025

State

IL

Ever Disciplined

N

LastModifiedDate

04/03/2025