VICTORIA LISA CODISPOTI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108109

License Status

ACTIVE

Business

First Name

VICTORIA

Middle

LISA

Last Name

CODISPOTI

Suffix

Business Name

VICTORIA LISA CODISPOTI MD

Original Issue Date

10/31/2002

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

KELL

State

Zip

62853

County

MARION

Ever Disciplined

LastModifiedDate

04/06/2023