DANIEL SCOTT DEFEO DO - Medical Doctor License in New Jersey | # 036128014

DANIEL SCOTT DEFEO DO

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128014

License Status

INACTIVE

Business

N

Title

DO

First Name

DANIEL

Middle

SCOTT

Last Name

DEFEO

Business Name

DANIEL SCOTT DEFEO DO

Original Issue Date

06/02/2011

Effective Date

06/02/2011

Expiration Date

07/31/2014

State

NJ

Ever Disciplined

N

LastModifiedDate

06/26/2014