LUCIO G MICOLITTI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054306

License Status

NOT RENEWED

Business

First Name

LUCIO G

Last Name

MICOLITTI

Suffix

Business Name

LUCIO G MICOLITTI MD

Original Issue Date

03/14/1977

Effective Date

03/14/1977

Expiration Date

07/31/1984

City

MIDDLETOWN

State

Zip

06457

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

09/20/2006