JOHN DOMINIC CREDICO JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

JOHN DOMINIC

Last Name

CREDICO JR

Suffix

Business Name

JOHN DOMINIC CREDICO JR MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1987

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006