JOHN L VISCONTI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

First Name

JOHN

Middle

Last Name

VISCONTI

Suffix

Business Name

JOHN L VISCONTI DO

Original Issue Date

09/16/2005

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2023