CHRISTOPHER CONRAD GIANVECCHIO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099699

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

CONRAD

Last Name

GIANVECCHIO

Suffix

Business Name

CHRISTOPHER CONRAD GIANVECCHIO MD

Original Issue Date

02/23/1999

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021