EMILIA B DAVID-RESTIVO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

ACTIVE

Business

First Name

EMILIA B

Last Name

DAVID-RESTIVO

Suffix

Business Name

EMILIA B DAVID-RESTIVO MD

Original Issue Date

08/15/2006

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/15/2023