DAVID JOSEPH DESOTO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

JOSEPH

Last Name

DESOTO

Suffix

Business Name

DAVID JOSEPH DESOTO MD

Original Issue Date

09/28/2009

Effective Date

09/28/2009

Expiration Date

07/31/2011

City

MORTON

State

Zip

61550

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011