GINA MARIE DE GIOVANNI MD - Medical Doctor License in Wisconsin | # 036130595

GINA MARIE DE GIOVANNI MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130595

License Status

NOT RENEWED

Business

N

Title

MD

First Name

GINA

Middle

MARIE

Last Name

DE GIOVANNI

Business Name

GINA MARIE DE GIOVANNI MD

Original Issue Date

06/19/2012

Effective Date

05/07/2014

Expiration Date

07/31/2017

State

WI

Ever Disciplined

N

LastModifiedDate

11/01/2017