ANTHONY RAY AGATUCCI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

ANTHONY RAY

Last Name

AGATUCCI

Suffix

Business Name

ANTHONY RAY AGATUCCI MD

Original Issue Date

01/01/1997

Effective Date

06/20/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020