MICHAEL VINCENT DEPASQUALE 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

Title

First Name

MICHAEL

Middle

VINCENT

Last Name

DEPASQUALE

Business Name

MICHAEL VINCENT DEPASQUALE MD

Original Issue Date

07/10/2023

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60641

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2023