JAMES A MASTRIANNI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

First Name

JAMES

Middle

Last Name

MASTRIANNI

Suffix

Business Name

JAMES A MASTRIANNI MD

Original Issue Date

12/15/1998

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023