THOMAS M IANNUCCI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

THOMAS M

Last Name

IANNUCCI

Suffix

Business Name

THOMAS M IANNUCCI MD

Original Issue Date

10/28/1981

Effective Date

05/19/2011

Expiration Date

07/31/2014

City

ORLAND PARK

State

Zip

60467

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020