GAETANO VENEZIA II MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

GAETANO

Last Name

VENEZIA

Suffix

II MD

Business Name

GAETANO VENEZIA II MD

Original Issue Date

01/06/1999

Effective Date

01/06/1999

Expiration Date

07/31/2005

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006