MARCO T BOLOGNA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107673

License Status

NOT RENEWED

Business

First Name

MARCO

Middle

Last Name

BOLOGNA

Business Name

MARCO T BOLOGNA

Original Issue Date

08/13/2002

Effective Date

06/01/2009

Expiration Date

07/31/2011

City

BOCA RATON

State

Zip

33496

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/14/2011