RICHARD ALLAN FAMULARO MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****11

NOT RENEWED

N

RICHARD

ALLAN

FAMULARO

MD

RICHARD ALLAN FAMULARO MD

01/01/1997

09/01/1982

CHICAGO

IL

60637

COOK

II III IV V

Y

04/05/2020

1997005289

Probation

03/13/1998

02/27/2004

License issued on probation after being disciplined in Massachusetts.