ANTONINA S J GESMUNDO MD 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

ANTONINA

Middle

S J

Last Name

GESMUNDO

Suffix

Business Name

ANTONINA S J GESMUNDO MD

Original Issue Date

07/21/1997

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHESTER

State

Zip

62233

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011