MINTESINOT T FITAMO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163211

License Status

ACTIVE

Business

Title

First Name

MINTESINOT

Middle

Last Name

FITAMO

Business Name

MINTESINOT T FITAMO MD

Original Issue Date

12/20/2022

Effective Date

05/22/2023

Expiration Date

07/31/2026

City

DAVENPORT

State

Zip

52803

Ever Disciplined

LastModifiedDate

05/22/2023