ANDREW J DONOFRIO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****14

License Status

ACTIVE

Business

First Name

ANDREW

Middle

Last Name

DONOFRIO

Business Name

ANDREW J DONOFRIO

Original Issue Date

08/31/2017

Effective Date

02/19/2026

Expiration Date

03/01/2028

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/19/2026