ENZO A CENTO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

First Name

ENZO

Middle

Last Name

CENTO

Suffix

Business Name

ENZO A CENTO MD

Original Issue Date

08/23/2023

Effective Date

08/23/2023

Expiration Date

07/31/2026

City

INDIANAPOLIS

State

Zip

46240

County

MARION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/23/2023