PHILLIP LEON CACIOPPO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041740

License Status

ACTIVE

Business

First Name

PHILLIP LEON

Last Name

CACIOPPO

Suffix

Business Name

PHILLIP LEON CACIOPPO MD

Original Issue Date

07/01/1968

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

06/06/2023