JENNA BIANCA DIONISIO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

Title

First Name

JENNA

Middle

BIANCA

Last Name

DIONISIO

Business Name

JENNA BIANCA DIONISIO DO

Original Issue Date

12/03/2024

Effective Date

12/03/2024

Expiration Date

07/31/2026

City

MUSKEGON

State

Zip

49444

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2024