MARK A FUSCO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094532

License Status

INACTIVE

Business

First Name

MARK A

Last Name

FUSCO

Suffix

Business Name

MARK A FUSCO MD

Original Issue Date

11/19/1996

Effective Date

11/19/1996

Expiration Date

07/31/1999

City

MELBOURNE

State

Zip

32901

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006