BRYAN MICHAEL MISTRETTA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076122

License Status

EXPIRED

Business

Title

First Name

BRYAN

Middle

MICHAEL

Last Name

MISTRETTA

Business Name

BRYAN MICHAEL MISTRETTA DO

Original Issue Date

06/26/2023

Effective Date

06/26/2023

Expiration Date

06/25/2025

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

11/03/2025