JOSEPHINE ANGELA MINNICINO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

Title

First Name

JOSEPHINE

Middle

ANGELA

Last Name

MINNICINO

Business Name

JOSEPHINE ANGELA MINNICINO MD

Original Issue Date

10/03/2023

Effective Date

10/03/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/03/2023