MICHAEL J MUSACCHIO JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

Last Name

MUSACCHIO

Suffix

Business Name

MICHAEL J MUSACCHIO JR MD

Original Issue Date

02/24/2005

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023