DONALD LEO PESAVENTO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057572

License Status

INACTIVE

Business

First Name

DONALD LEO

Last Name

PESAVENTO

Suffix

Business Name

DONALD LEO PESAVENTO MD

Original Issue Date

09/05/1978

Effective Date

09/05/1978

Expiration Date

07/31/1990

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006