DEIRDRE ITA DE RANIERI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

First Name

DEIRDRE

Middle

ITA

Last Name

DE RANIERI

Suffix

Business Name

DEIRDRE ITA DE RANIERI MD

Original Issue Date

08/13/2014

Effective Date

04/09/2023

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

04/09/2023