PHILIP JOHN DIGIACOMO III MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

Title

First Name

PHILIP

Middle

JOHN

Last Name

DIGIACOMO

Suffix

III

Business Name

PHILIP JOHN DIGIACOMO III MD

Original Issue Date

10/05/2015

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

BATAVIA

State

Zip

60510

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023