MAURO VIDO MONTEVECCHI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

First Name

MAURO

Middle

VIDO

Last Name

MONTEVECCHI

Suffix

Business Name

MAURO VIDO MONTEVECCHI MD

Original Issue Date

03/10/2009

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

OTTAWA

State

Zip

61350

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023