MERRIT MARION DEBARTOLO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

Title

First Name

MERRIT

Middle

MARION

Last Name

DEBARTOLO

Business Name

MERRIT MARION DEBARTOLO MD

Original Issue Date

04/28/2016

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023