MARCONI D DELADISMA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114984

License Status

ACTIVE

Business

Title

First Name

MARCONI

Middle

Last Name

DELADISMA

Business Name

MARCONI D DELADISMA MD

Original Issue Date

12/13/2005

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

LOVES PARK

State

Zip

61111

County

BOONE

Ever Disciplined

LastModifiedDate

06/17/2023