AGUSTIN D DORMITORIO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

AGUSTIN D

Last Name

DORMITORIO

Suffix

Business Name

AGUSTIN D DORMITORIO MD

Original Issue Date

01/01/1997

Effective Date

06/23/2020

Expiration Date

07/31/2023

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023

Case Number

1992000060

Action

Probation

Discipline Start Date

04/01/1993

Discipline End Date

12/29/1997

Discipline Reason

Prescribed Fastin under questionable circumstances to some patients and a Department Investigator. License restored December 29, 1997.