JEFFREY WILLIAM FIDONE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

Title

First Name

JEFFREY

Middle

WILLIAM

Last Name

FIDONE

Business Name

JEFFREY WILLIAM FIDONE MD

Original Issue Date

08/07/2019

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/21/2023