MICHAEL T CICERO DO - Medical Doctor License in Wisconsin | # 036121617

MICHAEL T CICERO DO

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121617

License Status

INACTIVE

Business

N

First Name

MICHAEL

Middle

T

Last Name

CICERO

Suffix

DO

Business Name

MICHAEL T CICERO DO

Original Issue Date

07/31/2008

Effective Date

05/16/2011

Expiration Date

07/31/2014

State

WI

Ever Disciplined

N

LastModifiedDate

04/08/2014