GREGORY JOHN MACCHIO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

CANCELLED

Business

First Name

GREGORY JOHN

Last Name

MACCHIO

Suffix

Business Name

GREGORY JOHN MACCHIO MD

Original Issue Date

09/10/1996

Effective Date

09/10/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006