ROBERT DOMENIC RESTUCCIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097374

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

DOMENIC

Last Name

RESTUCCIA

Suffix

Business Name

ROBERT DOMENIC RESTUCCIA MD

Original Issue Date

03/11/1998

Effective Date

05/23/2017

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021