DAVID PAUL VISCO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

PAUL

Last Name

VISCO

Suffix

Business Name

DAVID PAUL VISCO MD

Original Issue Date

08/13/2009

Effective Date

08/13/2009

Expiration Date

07/31/2011

City

ZION

State

Zip

60099

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011