VINCENZO DE MASI 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

VINCENZO

Last Name

DE MASI

Suffix

Business Name

VINCENZO DE MASI MD

Original Issue Date

05/25/2004

Effective Date

05/25/2004

Expiration Date

07/31/2008

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020