PHILLIP LEON CACIOPPO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

First Name

PHILLIP LEON

Last Name

CACIOPPO

Suffix

Business Name

PHILLIP LEON CACIOPPO MD

Original Issue Date

01/01/1997

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023