JOHN P DI MONDO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

First Name

JOHN

Middle

Last Name

DI MONDO

Business Name

JOHN P DI MONDO

Original Issue Date

03/03/2004

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023