THOMAS MATTHEW AQUISTO 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

THOMAS

Middle

MATTHEW

Last Name

AQUISTO

Suffix

Business Name

THOMAS MATTHEW AQUISTO MD

Original Issue Date

03/22/2005

Effective Date

05/12/2020

Expiration Date

07/31/2023

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023