LEONARD J BUCCELLATO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

CANCELLED

Business

First Name

LEONARD

Middle

Last Name

BUCCELLATO

Business Name

LEONARD J BUCCELLATO

Original Issue Date

03/01/2004

Effective Date

03/01/2004

Expiration Date

07/31/2005

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006