DOMINIC JOSEPH MARCHIAFAVA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****92

License Status

ACTIVE

Business

First Name

DOMINIC

Middle

JOSEPH

Last Name

MARCHIAFAVA

Business Name

DOMINIC JOSEPH MARCHIAFAVA

Original Issue Date

11/24/2020

Effective Date

02/28/2026

Expiration Date

03/01/2028

City

WAUKEGAN

State

Zip

60085

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/28/2026