PHILLIP PASQUALE SANTOIEMMA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

ACTIVE

Business

Title

First Name

PHILLIP

Middle

PASQUALE

Last Name

SANTOIEMMA

Business Name

PHILLIP PASQUALE SANTOIEMMA MD

Original Issue Date

08/15/2017

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023