MICHAEL JOSEPH BOMMARITO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

JOSEPH

Last Name

BOMMARITO

Business Name

MICHAEL JOSEPH BOMMARITO MD

Original Issue Date

03/13/2003

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/14/2023