MARK DY-LIACCO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100492

License Status

ACTIVE

Business

Title

First Name

MARK

Last Name

DY-LIACCO

Business Name

MARK DY-LIACCO MD

Original Issue Date

07/01/1999

Effective Date

05/14/2023

Expiration Date

07/31/2026

City

GARDEN CITY

State

Zip

83714

Ever Disciplined

LastModifiedDate

05/14/2023