MICHAEL J MUSACCHIO JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112867

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

Last Name

MUSACCHIO

Suffix

Business Name

MICHAEL J MUSACCHIO JR MD

Original Issue Date

01/07/2005

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

04/13/2023