JEFFREY ROBERT DESANTO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

First Name

JEFFREY

Middle

ROBERT

Last Name

DESANTO

Suffix

Business Name

JEFFREY ROBERT DESANTO MD

Original Issue Date

06/09/2010

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60610

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2023