ANTHONY J D'ANGELO DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

ANTHONY J

Last Name

D'ANGELO

Suffix

Business Name

ANTHONY J D'ANGELO DO

Original Issue Date

08/22/1995

Effective Date

08/22/1995

Expiration Date

07/31/1999

City

WOOD RIVER

State

Zip

62095

County

MADISON

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006