MICHAEL A MICALETTI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

First Name

MICHAEL A

Last Name

MICALETTI

Suffix

Business Name

MICHAEL A MICALETTI MD

Original Issue Date

02/15/1996

Effective Date

04/16/2023

Expiration Date

07/31/2026

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2023