SALVATORE JOHN LOCOCO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

SALVATORE

Middle

JOHN

Last Name

LOCOCO

Suffix

Business Name

SALVATORE JOHN LOCOCO MD

Original Issue Date

09/02/2009

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021