CARL PATRICK DI LELLA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

CARL

Middle

PATRICK

Last Name

DI LELLA

Suffix

Business Name

CARL PATRICK DI LELLA DO

Original Issue Date

05/18/2004

Effective Date

07/11/2014

Expiration Date

07/31/2017

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020