MICHAEL ROGER MARINO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****45

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

ROGER

Last Name

MARINO

Business Name

MICHAEL ROGER MARINO

Original Issue Date

09/15/2023

Effective Date

12/11/2025

Expiration Date

03/01/2028

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/11/2025