LOUIS THOMAS DISTASIO DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038003935

License Status

NOT RENEWED

Business

First Name

LOUIS

Middle

THOMAS

Last Name

DISTASIO

Suffix

Business Name

LOUIS THOMAS DISTASIO DC

Original Issue Date

02/16/1979

Effective Date

06/22/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

1985000649

Action

Probation

Discipline Start Date

11/21/1986

Discipline End Date

11/21/1987