SAMUEL DANTE DELISI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

SAMUEL DANTE

Last Name

DELISI

Suffix

Business Name

SAMUEL DANTE DELISI MD

Original Issue Date

10/03/2007

Effective Date

05/28/2008

Expiration Date

07/31/2011

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020