ANTHONY CLIFFORD DELACH Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

ACTIVE

Business

First Name

ANTHONY CLIFFORD

Last Name

DELACH

Business Name

ANTHONY CLIFFORD DELACH

Original Issue Date

01/01/1997

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

HOMER GLEN

State

Zip

60491

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2023