MARK JOSEPH GIOVANELLI DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

Title

First Name

MARK

Middle

JOSEPH

Last Name

GIOVANELLI

Business Name

MARK JOSEPH GIOVANELLI DO

Original Issue Date

02/14/2012

Effective Date

02/14/2012

Expiration Date

07/31/2014

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014