ROBERT MARIO BONAMINIO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

First Name

ROBERT

Middle

MARIO

Last Name

BONAMINIO

Business Name

ROBERT MARIO BONAMINIO

Original Issue Date

08/27/1996

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2023