CHAD DOUGLAS TATTINI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

First Name

CHAD

Middle

DOUGLAS

Last Name

TATTINI

Suffix

Business Name

CHAD DOUGLAS TATTINI MD

Original Issue Date

04/08/2004

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023