MICHAEL MERCANDETTI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090017

License Status

ACTIVE

Business

First Name

MICHAEL

Last Name

MERCANDETTI

Suffix

Business Name

MICHAEL MERCANDETTI MD

Original Issue Date

12/22/1994

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

07/12/2023