ELIA M DISAVINO MD 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

ELIA

Middle

Last Name

DISAVINO

Business Name

ELIA M DISAVINO MD

Original Issue Date

02/19/2003

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2023