PHILLIP L CACIOPPO MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042006111

License Status

NOT RENEWED

Business

Business Name

PHILLIP L CACIOPPO MD SC

Original Issue Date

01/06/1987

Effective Date

12/24/2021

Expiration Date

01/01/2025

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

04/03/2025