MARIO A AFFINATI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

First Name

MARIO A

Last Name

AFFINATI

Business Name

MARIO A AFFINATI

Original Issue Date

11/21/1995

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023