MICHAEL THOMAS GINNETTI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

THOMAS

Last Name

GINNETTI

Business Name

MICHAEL THOMAS GINNETTI MD

Original Issue Date

07/11/2021

Effective Date

07/02/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/02/2023