ANTHONY MICHAEL AVELLINO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

Title

First Name

ANTHONY

Middle

MICHAEL

Last Name

AVELLINO

Business Name

ANTHONY MICHAEL AVELLINO MD

Original Issue Date

07/31/2014

Effective Date

04/24/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021