LUCIANO TANFULLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

LUCIANO

Last Name

TANFULLA

Suffix

Business Name

LUCIANO TANFULLA MD

Original Issue Date

10/18/1990

Effective Date

10/18/1990

Expiration Date

07/31/1999

City

OAK BROOK

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006