ANGELA INTILI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

ANGELA

Last Name

INTILI

Business Name

ANGELA INTILI

Original Issue Date

08/22/2000

Effective Date

04/22/2011

Expiration Date

07/31/2014

City

NEW LENOX

State

Zip

60451

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020