DANIEL J PESAVENTO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

First Name

DANIEL J

Last Name

PESAVENTO

Suffix

Business Name

DANIEL J PESAVENTO MD

Original Issue Date

11/08/1982

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023