JOHN M PULITO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

JOHN M

Last Name

PULITO

Suffix

Business Name

JOHN M PULITO MD

Original Issue Date

01/23/1987

Effective Date

01/23/1987

Expiration Date

07/31/1990

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006