BRIA DUGOLENSKI GIACOMINO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

Title

First Name

BRIA

Middle

DUGOLENSKI

Last Name

GIACOMINO

Business Name

BRIA DUGOLENSKI GIACOMINO DO

Original Issue Date

09/18/2019

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/17/2023