TINA A FABIANO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

First Name

TINA

Middle

Last Name

FABIANO

Business Name

TINA A FABIANO

Original Issue Date

11/14/2013

Effective Date

06/12/2023

Expiration Date

07/31/2026

City

BOCA RATON

State

Zip

33434

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/12/2023