BRYAN MICHAEL MISTRETTA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036174964

License Status

ACTIVE

Business

Title

First Name

BRYAN

Middle

MICHAEL

Last Name

MISTRETTA

Business Name

BRYAN MICHAEL MISTRETTA DO

Original Issue Date

05/12/2025

Effective Date

05/12/2025

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/12/2025