FEDERICO E MORDINI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

FEDERICO

Middle

Last Name

MORDINI

Business Name

FEDERICO E MORDINI

Original Issue Date

10/06/2006

Effective Date

06/26/2008

Expiration Date

07/31/2011

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011