CHRISTOPHER DAVID CODISPOTI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

Title

First Name

CHRISTOPHER

Middle

DAVID

Last Name

CODISPOTI

Business Name

CHRISTOPHER DAVID CODISPOTI MD

Original Issue Date

09/20/2011

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023