ROBERTO P CIPOLLA 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

ROBERTO

Middle

Last Name

CIPOLLA

Suffix

Business Name

ROBERTO P CIPOLLA MD

Original Issue Date

11/28/1984

Effective Date

11/28/1984

Expiration Date

07/31/1987

City

FISHER

State

Zip

61843

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020