THOMAS VINCENT DISTEFANO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036173461

License Status

ACTIVE

Business

Title

First Name

THOMAS

Middle

VINCENT

Last Name

DISTEFANO

Business Name

THOMAS VINCENT DISTEFANO MD

Original Issue Date

01/22/2025

Effective Date

01/22/2025

Expiration Date

07/31/2026

City

YUMA

State

Zip

85367

Ever Disciplined

LastModifiedDate

12/27/2024