MARK D CIPOLLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

MARK D

Last Name

CIPOLLE

Suffix

Business Name

MARK D CIPOLLE MD

Original Issue Date

05/22/1989

Effective Date

05/22/1989

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60680

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006