ANTHONY DISMAS DICIANNI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161585

License Status

ACTIVE

Business

Title

First Name

ANTHONY

Middle

DISMAS

Last Name

DICIANNI

Business Name

ANTHONY DISMAS DICIANNI DO

Original Issue Date

07/21/2022

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

WALWORTH

State

Zip

53184

Ever Disciplined

LastModifiedDate

11/14/2025