IGNACIO HUMBERTO FORNARIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

IGNACIO HUMBERTO

Last Name

FORNARIS

Suffix

Business Name

IGNACIO HUMBERTO FORNARIS MD

Original Issue Date

01/01/1997

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021