EDWARD DENNIS MAGLIETTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

EDWARD DENNIS

Last Name

MAGLIETTA

Suffix

Business Name

EDWARD DENNIS MAGLIETTA MD

Original Issue Date

01/01/1997

Effective Date

05/06/2011

Expiration Date

07/31/2014

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014