STACY L PANOZZO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

Title

First Name

STACY

Middle

Last Name

PANOZZO

Business Name

STACY L PANOZZO DO

Original Issue Date

11/03/2014

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

ANTIOCH

State

Zip

60002

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023