VINCENT PAUL CANNESTRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

VINCENT PAUL

Last Name

CANNESTRA

Suffix

Business Name

VINCENT PAUL CANNESTRA MD

Original Issue Date

05/02/2012

Effective Date

05/01/2014

Expiration Date

07/31/2017

City

SAINT CHARLES

State

Zip

60174

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020