ELIA M DISAVINO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106631

License Status

ACTIVE

Business

Title

First Name

ELIA

Middle

Last Name

DISAVINO

Business Name

ELIA M DISAVINO MD

Original Issue Date

03/29/2002

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/01/2023