ROBERT MODUGNO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059023

License Status

INACTIVE

Business

First Name

ROBERT

Last Name

MODUGNO

Suffix

Business Name

ROBERT MODUGNO MD

Original Issue Date

07/20/1979

Effective Date

07/20/1979

Expiration Date

07/31/1987

City

RIVERDALE

State

Zip

30274

County

GEORGIA

Ever Disciplined

LastModifiedDate

03/09/2016