DIONISIO U DEGRACIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

DIONISIO U

Last Name

DEGRACIA

Suffix

Business Name

DIONISIO U DEGRACIA MD

Original Issue Date

01/01/1997

Effective Date

06/16/2011

Expiration Date

07/31/2014

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014