CARLO JOHN GAMMAITONI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

Title

First Name

CARLO

Middle

JOHN

Last Name

GAMMAITONI

Business Name

CARLO JOHN GAMMAITONI MD

Original Issue Date

11/29/2021

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023