MARCO A BARZALLO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

First Name

MARCO

Middle

Last Name

BARZALLO

Suffix

Business Name

MARCO A BARZALLO MD

Original Issue Date

07/13/2005

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/24/2023