EUGENE VINCENT PALLICCIA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101182

License Status

INACTIVE

Business

First Name

EUGENE

Middle

VINCENT

Last Name

PALLICCIA

Suffix

Business Name

EUGENE VINCENT PALLICCIA MD

Original Issue Date

09/01/1999

Effective Date

09/01/1999

Expiration Date

07/31/2002

City

WESTLAKE VILLAGE

State

Zip

91361

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/09/2006