MICHAEL JOHN MONTESANO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

JOHN

Last Name

MONTESANO

Business Name

MICHAEL JOHN MONTESANO DO

Original Issue Date

08/23/2022

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

EVERGREEN PARK

State

Zip

60805

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2023