VINCENT PAUL CANNESTRA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

First Name

VINCENT PAUL

Last Name

CANNESTRA

Suffix

Business Name

VINCENT PAUL CANNESTRA MD

Original Issue Date

04/17/1998

Effective Date

06/04/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2023