ANGELO M ANACLERIO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

ANGELO M

Last Name

ANACLERIO

Suffix

Business Name

ANGELO M ANACLERIO MD

Original Issue Date

09/30/1986

Effective Date

10/05/2012

Expiration Date

07/31/2014

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017