JOHN WILLIAM DEMARINO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

Title

First Name

JOHN

Middle

WILLIAM

Last Name

DEMARINO

Business Name

JOHN WILLIAM DEMARINO MD

Original Issue Date

01/22/2019

Effective Date

01/22/2019

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021