JASON ROBERT DIVITO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155560

License Status

ACTIVE

Business

Title

First Name

JASON

Middle

ROBERT

Last Name

DIVITO

Business Name

JASON ROBERT DIVITO DO

Original Issue Date

02/08/2021

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

OMAHA

State

Zip

68114

Ever Disciplined

LastModifiedDate

06/29/2023