ROBERT C IMPASTATO MD 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

Title

First Name

ROBERT

Middle

Last Name

IMPASTATO

Business Name

ROBERT C IMPASTATO MD

Original Issue Date

08/21/2012

Effective Date

06/27/2014

Expiration Date

07/31/2017

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017