GREGORY PETER DESIMONE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069121

License Status

EXPIRED

Business

Title

First Name

GREGORY

Middle

PETER

Last Name

DESIMONE

Business Name

GREGORY PETER DESIMONE DO

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/02/2019