PATRICIA M VISNESKY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

First Name

PATRICIA M

Last Name

VISNESKY

Suffix

Business Name

PATRICIA M VISNESKY MD

Original Issue Date

11/06/1987

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023