IAN ANTHONY CONCILIO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102771

License Status

NOT RENEWED

Business

First Name

IAN

Middle

ANTHONY

Last Name

CONCILIO

Suffix

Business Name

IAN ANTHONY CONCILIO MD

Original Issue Date

06/21/2000

Effective Date

06/21/2000

Expiration Date

07/31/2005

City

LAKE WORTH

State

Zip

33467

Ever Disciplined

LastModifiedDate

01/19/2012

Case Number

2009001388

Action

Fine

Discipline Start Date

01/13/2012

Discipline Reason

license restored to good standing subject to payment of $500 fine, payment of fees, filing of forms, and completion of required cont. education.