DENISE M MAMMOLITO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082251

License Status

ACTIVE

Business

First Name

DENISE M

Last Name

MAMMOLITO

Suffix

Business Name

DENISE M MAMMOLITO MD

Original Issue Date

03/29/1991

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

06/21/2023