MICHAEL ROBERT PRANZATELLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

ROBERT

Last Name

PRANZATELLI

Suffix

Business Name

MICHAEL ROBERT PRANZATELLI MD

Original Issue Date

12/03/1999

Effective Date

08/01/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017