DESIDERIO PINA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

Title

First Name

DESIDERIO

Last Name

PINA

Business Name

DESIDERIO PINA MD

Original Issue Date

11/20/2019

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

BEAVERCREEK

State

Zip

45434

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023