MICHAEL JAMES POLIZZOTTO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

JAMES

Last Name

POLIZZOTTO

Suffix

Business Name

MICHAEL JAMES POLIZZOTTO MD

Original Issue Date

06/23/2005

Effective Date

05/14/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/14/2023