ERICA DAVIS PERRINO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

Title

First Name

ERICA

Middle

DAVIS

Last Name

PERRINO

Business Name

ERICA DAVIS PERRINO MD

Original Issue Date

07/16/2015

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

CHARLESTON

State

Zip

61920

County

COLES

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023