GEORGE DOMINIC MAMMO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

Title

First Name

GEORGE

Middle

DOMINIC

Last Name

MAMMO

Business Name

GEORGE DOMINIC MAMMO MD

Original Issue Date

01/14/2022

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023