THOMAS A IANNUCCI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

First Name

THOMAS A

Last Name

IANNUCCI

Suffix

Business Name

THOMAS A IANNUCCI MD

Original Issue Date

11/09/1987

Effective Date

04/22/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/22/2023