LOUIS ANTHONY MUSSO DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

LOUIS

Middle

ANTHONY

Last Name

MUSSO

Suffix

Business Name

LOUIS ANTHONY MUSSO DO

Original Issue Date

10/30/2003

Effective Date

06/08/2011

Expiration Date

07/31/2014

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017