VITO JOHN BADALAMENTI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

VITO

Middle

JOHN

Last Name

BADALAMENTI

Suffix

Business Name

VITO JOHN BADALAMENTI MD

Original Issue Date

03/16/2005

Effective Date

03/16/2005

Expiration Date

07/31/2008

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008