CHRISTOPHER CONRAD GIANVECCHIO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

CONRAD

Last Name

GIANVECCHIO

Suffix

Business Name

CHRISTOPHER CONRAD GIANVECCHIO MD

Original Issue Date

07/28/1999

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021