ANTHONY P CIPOLLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

Title

First Name

ANTHONY

Middle

Last Name

CIPOLLA

Business Name

ANTHONY P CIPOLLA MD

Original Issue Date

04/05/2016

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

DEERFIELD

State

Zip

60015

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023