DANTE M PEPITO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

DANTE M

Last Name

PEPITO

Suffix

Business Name

DANTE M PEPITO MD

Original Issue Date

01/26/1990

Effective Date

01/26/1990

Expiration Date

07/31/1993

City

ROSICLARE

State

Zip

62982

County

HARDIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006