VERDI J DISESA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

CANCELLED

Business

First Name

VERDI

Middle

Last Name

DISESA

Suffix

Business Name

VERDI J DISESA MD

Original Issue Date

04/06/1998

Effective Date

04/06/1998

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006