THOMAS B DESTEFANI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

First Name

THOMAS B

Last Name

DESTEFANI

Suffix

Business Name

THOMAS B DESTEFANI MD

Original Issue Date

05/30/1984

Effective Date

06/12/2023

Expiration Date

07/31/2026

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/12/2023