PHYLLIS LISA IANNUZZI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

PHYLLIS LISA

Last Name

IANNUZZI

Suffix

Business Name

PHYLLIS LISA IANNUZZI MD

Original Issue Date

09/18/1981

Effective Date

09/18/1981

Expiration Date

09/01/1982

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006