SUZANNE MARIE DIBATTISTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

Title

First Name

SUZANNE

Middle

MARIE

Last Name

DIBATTISTA

Business Name

SUZANNE MARIE DIBATTISTA MD

Original Issue Date

02/14/2022

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/24/2023