JOSE GABRIEL A IMPROVOLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

Title

First Name

JOSE GABRIEL

Middle

Last Name

IMPROVOLA

Business Name

JOSE GABRIEL A IMPROVOLA MD

Original Issue Date

05/12/2010

Effective Date

08/16/2011

Expiration Date

07/31/2014

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014