ENRICO T FARINAS JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

First Name

ENRICO T

Last Name

FARINAS JR

Suffix

Business Name

ENRICO T FARINAS JR MD

Original Issue Date

01/01/1997

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023