DAVID L SCIACCA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113406

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

SCIACCA

Business Name

DAVID L SCIACCA

Original Issue Date

04/07/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

WOODBRIDGE

State

Zip

06525

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

03/17/2009