DEBORA J SPORTIELLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

DEBORA J

Last Name

SPORTIELLO

Suffix

Business Name

DEBORA J SPORTIELLO MD

Original Issue Date

03/18/1993

Effective Date

03/18/1993

Expiration Date

07/31/1996

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006