ANTHONY VITO MAIORIELLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

VITO

Last Name

MAIORIELLO

Suffix

Business Name

ANTHONY VITO MAIORIELLO MD

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

07/31/2011

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011