TIZIANO COLIBAZZI Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

CANCELLED

Business

First Name

TIZIANO

Last Name

COLIBAZZI

Business Name

TIZIANO COLIBAZZI

Original Issue Date

09/04/2003

Effective Date

09/04/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006