SAM JOSEPH BRANCATO MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

INOPERATIVE

Business

Title

First Name

SAM

Middle

JOSEPH

Last Name

BRANCATO

Business Name

SAM JOSEPH BRANCATO MD

Original Issue Date

07/17/2012

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023