JOHN J IPPOLITO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

First Name

JOHN J

Last Name

IPPOLITO

Suffix

Business Name

JOHN J IPPOLITO MD

Original Issue Date

06/23/2020

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023