RICHARD ALAN DEANGELO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

RICHARD ALAN

Last Name

DEANGELO

Suffix

Business Name

RICHARD ALAN DEANGELO MD

Original Issue Date

01/01/1997

Effective Date

04/19/2017

Expiration Date

09/30/2020

City

SKOKIE

State

Zip

60077

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021