IVAN V PACOLD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

First Name

IVAN

Middle

Last Name

PACOLD

Suffix

Business Name

IVAN V PACOLD MD

Original Issue Date

07/09/1990

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

ELMHURST

State

Zip

60126

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023