DOMINIC J GAZIANO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

Title

First Name

DOMINIC J

Last Name

GAZIANO

Business Name

DOMINIC J GAZIANO MD

Original Issue Date

10/27/1995

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2023