ERNEST P VESTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

First Name

ERNEST P

Last Name

VESTA

Suffix

Business Name

ERNEST P VESTA MD

Original Issue Date

07/08/1982

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/19/2023