CHRISTOPHER J BETTACCHI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

Last Name

BETTACCHI

Business Name

CHRISTOPHER J BETTACCHI

Original Issue Date

08/11/2004

Effective Date

08/11/2004

Expiration Date

07/31/2005

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006