WENDOLYN MELISSA DISALVO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

Title

First Name

WENDOLYN

Middle

MELISSA

Last Name

DISALVO

Business Name

WENDOLYN MELISSA DISALVO MD

Original Issue Date

11/23/2016

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

O'FALLON

State

Zip

62269

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023