JUSTIN ANTHONY FIALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

Title

First Name

JUSTIN

Middle

ANTHONY

Last Name

FIALA

Business Name

JUSTIN ANTHONY FIALA MD

Original Issue Date

03/10/2017

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023