DOMINIC PHILIP CORSELLO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078745

License Status

ACTIVE

Business

Title

First Name

DOMINIC

Middle

PHILIP

Last Name

CORSELLO

Business Name

DOMINIC PHILIP CORSELLO MD

Original Issue Date

08/01/2025

Effective Date

08/01/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pain Medicine

Ever Disciplined

LastModifiedDate

06/24/2025