ANGELO T PEZZELLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

CANCELLED

Business

First Name

ANGELO

Middle

Last Name

PEZZELLA

Suffix

Business Name

ANGELO T PEZZELLA MD

Original Issue Date

02/22/2001

Effective Date

02/22/2001

Expiration Date

07/31/2008

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006