DOMINIC CHARLES PERRINO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

Title

First Name

DOMINIC

Middle

CHARLES

Last Name

PERRINO

Business Name

DOMINIC CHARLES PERRINO DO

Original Issue Date

07/09/2015

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2023