DANIEL VITANTONIO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154719

License Status

INACTIVE

Business

Title

First Name

DANIEL

Last Name

VITANTONIO

Business Name

DANIEL VITANTONIO MD

Original Issue Date

11/09/2020

Effective Date

11/09/2020

Expiration Date

07/31/2023

City

NEWPORT BEACH

State

Zip

92660

Ever Disciplined

LastModifiedDate

06/30/2023