PAOLA PALMA SISTO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

PAOLA

Middle

PALMA

Last Name

SISTO

Suffix

Business Name

PAOLA PALMA SISTO MD

Original Issue Date

10/05/2000

Effective Date

10/05/2000

Expiration Date

07/31/2005

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006