EMMA CRISTINA DIPONIO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

Title

First Name

EMMA

Middle

CRISTINA

Last Name

DIPONIO

Business Name

EMMA CRISTINA DIPONIO MD

Original Issue Date

09/22/2015

Effective Date

09/22/2015

Expiration Date

07/31/2017

City

FLORENCE

State

Zip

54121

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017