DOMINIC C IMBURGIA 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

DOMINIC C

Last Name

IMBURGIA

Suffix

Business Name

DOMINIC C IMBURGIA MD

Original Issue Date

08/16/1982

Effective Date

06/26/2023

Expiration Date

07/31/2026

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/26/2023