MARCO T BOLOGNA - Medical Doctor License in Florida | # 036107673

MARCO T BOLOGNA

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107673

License Status

NOT RENEWED

Business

N

First Name

MARCO

Middle

T

Last Name

BOLOGNA

Business Name

MARCO T BOLOGNA

Original Issue Date

08/13/2002

Effective Date

06/01/2009

Expiration Date

07/31/2011

State

FL

Ever Disciplined

N

LastModifiedDate

11/14/2011