JAIME H CERCONE 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

JAIME H

Last Name

CERCONE

Suffix

Business Name

JAIME H CERCONE MD

Original Issue Date

01/01/1997

Effective Date

07/09/2014

Expiration Date

07/31/2017

City

LEWISTOWN

State

Zip

61542

County

FULTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017