VINCENZO DE MASI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

VINCENZO

Last Name

DE MASI

Suffix

Business Name

VINCENZO DE MASI MD

Original Issue Date

06/24/2008

Effective Date

06/24/2008

Expiration Date

07/31/2011

City

LAGRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020