DONALD LEO PESAVENTO MD - Medical Doctor License in Indiana | # 036057572

DONALD LEO PESAVENTO MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057572

License Status

INACTIVE

Business

N

First Name

DONALD LEO

Last Name

PESAVENTO

Suffix

MD

Business Name

DONALD LEO PESAVENTO MD

Original Issue Date

09/05/1978

Effective Date

09/05/1978

Expiration Date

07/31/1990

State

IN

Ever Disciplined

N

LastModifiedDate

09/20/2006