MARCUS A DESIO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

MARCUS A

Last Name

DESIO

Suffix

Business Name

MARCUS A DESIO MD

Original Issue Date

01/25/1988

Effective Date

01/25/1988

Expiration Date

07/31/1990

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006