RICHARD JAMES ANGELICO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

Title

First Name

RICHARD

Middle

JAMES

Last Name

ANGELICO

Business Name

RICHARD JAMES ANGELICO MD

Original Issue Date

04/08/2020

Effective Date

04/08/2020

Expiration Date

07/31/2023

City

CENTER VALLEY

State

Zip

18034

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023