LUIS ARISTIDES FIALLO 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

Title

First Name

LUIS

Middle

ARISTIDES

Last Name

FIALLO

Business Name

LUIS ARISTIDES FIALLO MD

Original Issue Date

03/06/2018

Effective Date

03/06/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021