ANTHONY DISMAS DICIANNI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

Title

First Name

ANTHONY

Middle

DISMAS

Last Name

DICIANNI

Business Name

ANTHONY DISMAS DICIANNI DO

Original Issue Date

08/26/2022

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2025