GREGORY JAMES IMBARRATO DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

Title

First Name

GREGORY

Middle

JAMES

Last Name

IMBARRATO

Business Name

GREGORY JAMES IMBARRATO DO

Original Issue Date

11/17/2016

Effective Date

04/24/2017

Expiration Date

09/30/2020

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021