MICHAEL C FUSCO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

MICHAEL C

Last Name

FUSCO

Suffix

Business Name

MICHAEL C FUSCO MD

Original Issue Date

08/05/1993

Effective Date

08/05/1993

Expiration Date

07/31/2005

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020