MICHAEL D DESTEFANO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

Last Name

DESTEFANO

Suffix

Business Name

MICHAEL D DESTEFANO MD

Original Issue Date

11/03/1981

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

PALOS PARK

State

Zip

60464

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2023