JOSEPH TIMOTHY DEVITO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153792

License Status

NOT RENEWED

Business

Title

First Name

JOSEPH

Middle

TIMOTHY

Last Name

DEVITO

Business Name

JOSEPH TIMOTHY DEVITO MD

Original Issue Date

07/21/2020

Effective Date

07/21/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

11/30/2023