PHILLIP D NARCISSI Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****20

License Status

ACTIVE

Business

First Name

PHILLIP D

Last Name

NARCISSI

Business Name

PHILLIP D NARCISSI

Original Issue Date

05/25/2023

Effective Date

12/04/2024

Expiration Date

01/31/2027

City

MOKENA

State

Zip

60448

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2024