MICHAEL J PERCONTI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

MICHAEL J

Last Name

PERCONTI

Suffix

Business Name

MICHAEL J PERCONTI MD

Original Issue Date

03/06/1987

Effective Date

06/13/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021