JACOB VICTOR DIBATTISTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

Title

First Name

JACOB

Middle

VICTOR

Last Name

DIBATTISTA

Business Name

JACOB VICTOR DIBATTISTA MD

Original Issue Date

02/22/2022

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023