MARK ETTORE GIACOMI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

Title

First Name

MARK

Middle

ETTORE

Last Name

GIACOMI

Business Name

MARK ETTORE GIACOMI DO

Original Issue Date

08/18/2010

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

PLAINFIELD

State

Zip

60544

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023