SALVATORE GREGOR DIZZIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054570

License Status

NOT RENEWED

Business

First Name

SALVATORE GREGOR

Last Name

DIZZIA

Suffix

Business Name

SALVATORE GREGOR DIZZIA MD

Original Issue Date

05/13/1977

Effective Date

05/13/1977

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006