KATHERINE BLOSSFIELD IANNITELLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

Title

First Name

KATHERINE

Middle

BLOSSFIELD

Last Name

IANNITELLI

Business Name

KATHERINE BLOSSFIELD IANNITELLI MD

BusinessDBA

BLOSSFIELD

Original Issue Date

08/10/2015

Effective Date

05/01/2017

Expiration Date

09/30/2020

City

OAK PARK

State

Zip

60303

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021