ANTHONY DAVID PUOPOLO II MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

Title

First Name

ANTHONY

Middle

DAVID

Last Name

PUOPOLO

Suffix

Business Name

ANTHONY DAVID PUOPOLO II MD

Original Issue Date

04/06/2025

Effective Date

04/06/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2025