KALEEN PUCCETTI MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

INOPERATIVE

Business

Title

First Name

KALEEN

Last Name

PUCCETTI

Business Name

KALEEN PUCCETTI MD

Original Issue Date

05/26/2023

Effective Date

05/26/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60202

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/25/2023