ROBERT DOMENIC RESTUCCIA 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

ROBERT

Middle

DOMENIC

Last Name

RESTUCCIA

Suffix

Business Name

ROBERT DOMENIC RESTUCCIA MD

Original Issue Date

03/12/1998

Effective Date

07/19/2017

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021