JOSEPH ANTHONY MAGGIONCALDA 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

JOSEPH

Middle

ANTHONY

Last Name

MAGGIONCALDA

Suffix

Business Name

JOSEPH ANTHONY MAGGIONCALDA MD

Original Issue Date

07/07/2006

Effective Date

07/07/2006

Expiration Date

07/31/2008

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011