JOHN L VISCONTI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114479

License Status

ACTIVE

Business

First Name

JOHN

Middle

Last Name

VISCONTI

Suffix

Business Name

JOHN L VISCONTI DO

Original Issue Date

08/23/2005

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/22/2023