JEANENE MARIE CACCOPOLA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

First Name

JEANENE

Middle

MARIE

Last Name

CACCOPOLA

Suffix

Business Name

JEANENE MARIE CACCOPOLA DO

Original Issue Date

10/14/2003

Effective Date

04/22/2023

Expiration Date

07/31/2026

City

BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/22/2023