CONCETTA M FORCHETTI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

First Name

CONCETTA M

Last Name

FORCHETTI

Suffix

Business Name

CONCETTA M FORCHETTI MD

Original Issue Date

03/23/1989

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/15/2023