EARLE MILTON PESCATORE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

Title

First Name

EARLE

Middle

MILTON

Last Name

PESCATORE

Business Name

EARLE MILTON PESCATORE DO

Original Issue Date

06/22/2000

Effective Date

05/08/2024

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/08/2024