ANTONIO M VISIOLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040794

License Status

NOT RENEWED

Business

First Name

ANTONIO M

Last Name

VISIOLA

Suffix

Business Name

ANTONIO M VISIOLA MD

Original Issue Date

11/28/1966

Effective Date

11/28/1966

City

PLANTATION

State

Zip

33317

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006