MICHAEL VISENIO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158178

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Last Name

VISENIO

Business Name

MICHAEL VISENIO MD

Original Issue Date

08/31/2021

Effective Date

08/31/2021

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60642

Ever Disciplined

LastModifiedDate

11/30/2023