ANDREA VANNUCCI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

Title

First Name

ANDREA

Last Name

VANNUCCI

Business Name

ANDREA VANNUCCI MD

Original Issue Date

03/08/2021

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

JACKSON

State

Zip

39216

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2023