BRIAN THOMAS ZAFONTE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

Title

First Name

BRIAN

Middle

THOMAS

Last Name

ZAFONTE

Business Name

BRIAN THOMAS ZAFONTE MD

Original Issue Date

09/13/2016

Effective Date

08/16/2023

Expiration Date

07/31/2026

City

OTTAWA

State

Zip

61350

County

LA SALLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/08/2024